| NPI | 1043303472 |
|---|---|
| Doing Business As | CREST RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHIL MOSS Manager 405-741-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-4593) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2016-06-21 |