| NPI | 1164515508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY RAY WOODARD Owner, Pharmacist In Charge 918-425-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 22775) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2025-05-22 |