| NPI | 1093911604 |
|---|---|
| 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 |