| NPI | 1083764401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI ELAINE SCHRECK Owner 580-243-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OK 35-4534) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |