| NPI | 1093362337 |
|---|---|
| Doing Business As | FOSTER CORNER DRUG LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | TROY SIMONS President 405-372-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-10-19 |