| NPI | 1952317687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H HALL Owner 479-646-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20080) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-11-14 |