| NPI | 1861443558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LUEKENGA Pharmacist 870-342-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20525) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |