| NPI | 1992369318 |
|---|---|
| Other Name | ECONO-MART PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | CASEY CALLAHAN Administrator 870-793-4179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |