| NPI | 1073679171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP G. PARKS R.Ph., Owner 405-382-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 24562) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2020-08-22 |