| NPI | 1104941293 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | HUNTER J HOGAN Director Of Pharmacy 405-290-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 014650) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OK 014650) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-01-09 |