Pediatric Nutrition Prov of Ar
NPI #1477598795 in Benton, Arkansas
Provider Information
- NPI Number
- 1477598795
- Entity Type
- Organization
- Organization Name
- Pediatric Nutrition Prov of Ar
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Sep 11, 2025
Practice Location
Authorized Official
- Name
- LEONARD GRAY, PHARMD
- Title
- CO OWNER
- Phone
- (901) 315-7337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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