| NPI | 1164701645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE HUTTON KEYES Pharm D/Owner 580-799-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2021-11-03 |