| NPI | 1780120691 |
|---|---|
| Doing Business As | ICARERX PHARMACY - NEWPORT |
| Entity Type | Organization |
| Authorized Contact | ERIC SHOFFNER Owner/Pd 870-364-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20858) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-07-03 |