| NPI | 1801394820 |
|---|---|
| Doing Business As | STAFFORD HEALTHCARE CLINICS |
| Entity Type | Organization |
| Authorized Contact | MACKENZIE HAHN Ncpdp COO Rdinator 479-636-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA MD.013845) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |