| NPI | 1922375559 |
|---|---|
| Doing Business As | MEDI SHOP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT GEYER Pharmacist 479-394-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR20383) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2017-03-17 |