NPI | 1194857839 |
---|---|
Doing Business As | HUMPTY PHARMACY |
Entity Type | Organization |
Authorized Contact | FRANK PROCTOR Phrm Owner 918-224-2704 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 114040) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2015-06-24 |