| NPI | 1124128962 |
|---|---|
| Doing Business As | MEDICAL PARK CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRENT MOORE Owner 918-331-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 9-2507) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-12-22 |