Organization
A PLUS INFANT FORMULA ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA P WILKERSON (DIRECTOR)
(501) 952-7445
Entity
Organization
Contact information
Practice address
1515 SCOTT ST, LITTLE ROCK, AR 72202-5055
(501) 225-3992
Mailing address
PO BOX 22466, LITTLE ROCK, AR 72221-2466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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