| NPI | 1811983406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY CHARLES DODD President Owner 870-236-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR AR07014) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-06-21 |