NPI | 1043531734 |
---|---|
Doing Business As | FAMILY PHARMACY #3 |
Entity Type | Organization |
Authorized Contact | GRANT DIEL Owner 580-542-3232 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 5-5533) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2010-06-16 |
Last Update Date | 2023-05-12 |