| NPI | 1891789574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP R ROZELL Owner 479-443-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR20208) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2025-03-13 |