| NPI | 1124192653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER THOMPSON President 918-376-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 24519) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |