| NPI | 1033191234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRASH ASGARI Owner/Manager 580-564-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 683875) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-02-18 |