| NPI | 1194808568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NEWTON CARTER Pharmacist In Charge 580-223-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 124458) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-22 |
| Last Update Date | 2020-07-22 |