NPI | 1215448337 |
---|---|
Doing Business As | ST. MATTHEWS PHARMACY #1 |
Entity Type | Organization |
Authorized Contact | BRAD ECKMANN Chief Executive Officer 405-509-2469 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2017-10-16 |
Last Update Date | 2025-10-01 |