NPI | 1093911604 |
---|---|
Doing Business As | ERNIES PHARMACY AND WELLNESS CENTER INC |
Entity Type | Organization |
Authorized Contact | ERNIE SYKORA Owner 918-682-7085 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 45188) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2007-06-21 |
Last Update Date | 2015-01-26 |