| NPI | 1982078887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES ROSE R Ph/Owner 870-740-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR pd12030) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |