| NPI | 1063824589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HAIR Owner 918-841-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 26756) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-08-18 |