| NPI | 1053404293 |
|---|---|
| Doing Business As | GROVE DRIVE-IN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIMMY BLACKBURN Pharmacy Mgr 918-786-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 454107) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-02-24 |