| NPI | 1013174366 |
|---|---|
| Doing Business As | FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GRANT DIEL Owner 580-542-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 55299) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-05-12 |