| NPI | 1699774208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEL COLLIER Owner 479-442-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR00464) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2025-07-03 |