| NPI | 1205157724 |
|---|---|
| Doing Business As | CREST RX |
| Entity Type | Organization |
| Authorized Contact | SARA JUSTICE Manager 405-378-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 75537) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2015-06-27 |