| NPI | 1780681932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARK FUTRELL President & CEO 870-892-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AR AR05743) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 110305716) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AR 122010733) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2023-03-07 |