| NPI | 1134140197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD HINES Director Of Phamarcy 405-216-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 209524) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-02-08 |