NPI | 1003076738 |
---|---|
Doing Business As | OLYMPIA PHARMACY |
Entity Type | Organization |
Authorized Contact | SHAWN CRISMON Pharmacist 918-388-5713 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 25302) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2008-06-16 |
Last Update Date | 2013-02-20 |