| NPI | 1134233117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WRIGHT Manager 918-828-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 2-5086) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-07-19 |