NPI | 1750934287 |
---|---|
Doing Business As | PARK WEST PHARMACY |
Entity Type | Organization |
Authorized Contact | GWENDOLYN HERZIG Owner 501-224-3499 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-07-23 |
Last Update Date | 2023-10-18 |