| NPI | 1700931458 |
|---|---|
| Doing Business As | OVERTURF PHARMACY #8434 |
| Entity Type | Organization |
| Authorized Contact | GARY BOONE Director Of Hme Operations 479-394-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 005086) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-12-17 |