| NPI | 1922192327 |
|---|---|
| Doing Business As | BOBBY TEETERS DRUG STORE INC |
| Entity Type | Organization |
| Authorized Contact | ROBERT TEETER Owner PIC 479-754-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR11847) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-07-18 |