| NPI | 1053796235 |
|---|---|
| Doing Business As | CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRIS JOHNSON Pharmacy Manager 580-832-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 33-7414) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2017-02-20 |