| NPI | 1063840437 |
|---|---|
| Doing Business As | REAVIS SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIE JUSTICE Authorized Agent 405-447-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 22-6367) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-11-06 |