| NPI | 1134545999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER GARY LACKEY Owner/Pharmacist In Charge 580-744-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2020-05-14 |