NPI | 1154833796 |
---|---|
Doing Business As | LIFE PHARMACY MIDTOWN |
Entity Type | Organization |
Authorized Contact | SHONARA AWAD Owner 405-562-4242 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2017-11-03 |
Last Update Date | 2017-11-03 |