EXHIBIT 10.56

                               AMENDMENT TO LEASE

     This Amendment to Lease  (hereinafter  "Amendment") is made as of this 19th
day of November 1998, by and between  Executive Park  Partnership,  qualified to
transact  business  in Arkansas  with an office  located at 300  Executive  Park
Building,   320  Executive  Court,  Little  Rock,  Arkansas  72205  (hereinafter
"Lessor"),  and Pharmacy Associates,  Inc., an Arkansas corporation (hereinafter
"Lessee").

                                    RECITALS:

     WHEREAS, Lessor and Lessee entered into a lease which commenced on March 4,
1996, and a subsequent  Amendment to Lease dated November 3, 1998,  (hereinafter
collectively  referred to as "Lease")  under the terms of which Lessor leased to
Lessee approximately 5545 rentable square feet of space located at 320 Executive
Court, Little Rock, Arkansas (hereinafter "Premises"),  which Lease is scheduled
to expire on April 30, 1999; and

     WHEREAS, Lessor and Lessee desire to amend the terms of the Lease;

     NOW,   THEREFORE,   in  consideration  of  the  mutual  covenants,   terms,
provisions, and agreement of the parties set forth herein in this Amendment, the
parties agree as follows:

     1. Lease Term.

     The Lease term shall be for a period of three years,  commencing  on May 1,
1999, and continuing thereafter until April 30, 2002.

     2. Rent.

     The annual rental,  without  deductions,  set-off,  prior notice, or demand
shall be as follows:

     Period                             Annual Rent       Monthly Rent

     May 1, 1999 to April 30, 2000      $81,103.00          $6,758.58
     May 1, 2000 to April 30, 2001      $84,324.90          $7,027.08
     May 1, 2001 to April 30, 2002      $87,713.45          $7,309.45

     3. Performance.

     Lessor, at Lessor's sole expense,  agrees to replace the carpeting in Suite
201,  except for the 750 sq. ft. of  carpeting  installed  as a condition of the
Amendment to Lease dated November 2, 1998.

     4. Notification of Lessee's Intent to Renew Lease.

     Notification must be received in writing and the extension amendment agreed
upon and executed by both LESSEE and LESSOR by November 1, 2001.

     5. No Further Modification.

     Except as modified  by this  Amendment  to Lease,  the Lease dated March 4,
1993,  and  Amendment to Lease dated  November 2, 1998,  and all the  covenants,
agreements, terms, and provisions thereof shall remain in full force and effect.
In the event of any conflict  between the terms  contained in this Amendment and
the  Lease,   the  terms  herein  contained  shall  supersede  and  control  the
obligations and liabilities of the parties.


<PAGE>



     IN WITNESS WHEREOF, Lessor and Lessee have executed this Amendment to Lease
on the dates indicated below.

Date:  November 5, 1998                     Date:   November 11, 1998
       ----------------                             -----------------

TERRY MOORE & ASSOCIATES, INC.              PHARMACY ASSOCIATES, INC.
Its Managing Agent

By:   /s/Terry Moore                        By:   /s/Tery Baskin
      Terry Moore, President                      Tery Baskin, President


<PAGE>


                            PHARMACY ASSOCIATES, INC.
                                      1999

Suite            Sq. Ft.             Rate*         Total Per Unit
 201              4010              $14.60           $58,546.00
 301              1545              $14.60           $22,557,00
         ANNUAL RATE                        $81,103.00
         MONTHLY RATE                       $  6,758.58


                            PHARMACY ASSOCIATES, INC.
                                      2000

Suite            Sq. Ft.             Rate*         Total Per Unit
 201              4010              $15.18           $60,871.80
 301              1545              $15.18           $23,453.10
         ANNUAL RATE                        $84,324.90
         MONTHLY RATE                       $  7,027.08


                            PHARMACY ASSOCIATES, INC.
                                      2001

Suite            Sq. Ft.             Rate*         Total Per Unit
 201              4010              $15.79           $63,317.90
 301              1545              $15.79           $24,395.55
         ANNUAL RATE                        $87,713.45
         MONTHLY RATE                       $  7,309.45