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 |