| NPI | 1831306489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M WOOLSEY Owner 479-209-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR20558) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-08-19 |