| 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 |