| NPI | 1174689442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRY Owner 405-382-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 243441) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-09-12 |