NPI | 1770582009 |
---|---|
Doing Business As | JIM BAIN'S PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID STROUD VP Pharmacy Services 501-296-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 04930/11.1) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2008-07-16 |