| NPI | 1750450607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SHOLES Owner Phcst 501-664-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR13283) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-03-20 |