NPI | 1043303472 |
---|---|
Doing Business As | CREST RX PHARMACY |
Entity Type | Organization |
Authorized Contact | MACVICTOR VIET KY NGUYEN Manager 405-741-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-4593) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-30 |
Last Update Date | 2025-02-10 |