| NPI | 1205837531 | 
|---|---|
| Doing Business As | COUCH PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | GARY L PIPPIN Pharmacist Manager 918-743-6154  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 2-2879)  | 
| Enumeration Date | 2005-08-09 | 
| Last Update Date | 2020-08-22 |