NPI | 1811546021 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ASHLEY HYDE Owner Pharmacist 501-428-6905 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2019-09-10 |
Last Update Date | 2020-05-19 |