| NPI | 1942337811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND EDWARD BEARD Pharmacist Owner 870-628-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR 0406202) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 0406202) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR 0406202) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-01-18 |