NPI | 1083777601 |
---|---|
Doing Business As | THE APOTHECARY SHOPPE |
Entity Type | Organization |
Authorized Contact | THOMAS MARTI President 918-665-2003 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 2-6501) |
Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2016-07-11 |