| NPI | 1952715708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Director Of Healthcare Contracting 479-277-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 00005395) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2017-02-15 |