| NPI | 1770570491 |
|---|---|
| Doing Business As | OAK PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LONNIE JACKSON President 870-698-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR13396) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2016-12-05 |