NPI | 1225499619 |
---|---|
Doing Business As | EXPRESS RX OF CABOT |
Entity Type | Organization |
Authorized Contact | TONI WRIGHT Director 918-640-9270 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20835) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2016-03-11 |
Last Update Date | 2023-04-27 |