| NPI | 1922643006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWOOD RASSAM Pharmacist In Charge 501-660-6897 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-08-05 |