| NPI | 1225376544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY MICHAEL BOWLES Pharmacist/Owner 405-330-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 7-8058) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OK 1-6149) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2022-01-07 |