| NPI | 1013195684 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALISSA SCHLESSMAN Administrator 580-625-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 693029) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OK 693029) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK 693029) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 693029) | |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: OK 693029) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 693029) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2020-02-14 |