| NPI | 1023761582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY SIMONS President 405-742-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2023-07-26 |