| NPI | 1750106001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERT SANCHEZ Owner 479-263-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-12-24 |