| NPI | 1114705993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNEY KENT ABBOTT CEO 405-204-9783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-11-20 |