| NPI | 1124065644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH MILLER Director Of Pharmacy 405-290-3423 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 9-5246) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-05-11 |