| NPI | 1174179154 |
|---|---|
| Doing Business As | LONE GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ELMER GENE HUMPHREYS Owner 405-301-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |