| NPI | 1780051219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE WOOLSEY Pharmacist In Charge 479-963-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR PD08365) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |