| NPI | 1811026156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN ALLEN CLAYTON Pharmacist In Charge 870-886-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR 0420272) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2023-03-07 |