NPI | 1205545068 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN WINTERS Director Specialty Pharm Business 405-738-7943 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
Enumeration Date | 2022-11-21 |
Last Update Date | 2022-11-21 |