| NPI | 1760470520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY B STEPHENS President 501-888-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2019-01-22 |