| NPI | 1851746283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Director Of Healthcare Contracting 479-277-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH30180) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-02-12 |