| NPI | 1073952354 |
|---|---|
| Doing Business As | PATRIOT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID O'ROURKE Managing Member 918-298-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 2-7611) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2017-03-09 |