NPI | 1184045544 |
---|---|
Doing Business As | TEXOMA COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | A.J. ASGARI PIC 405-412-1404 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OK 27-6518) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2014-01-02 |
Last Update Date | 2014-01-02 |