| NPI | 1225758816 |
|---|---|
| Doing Business As | GRAVES DRUG LTC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM EARL OSBORN Vice President 918-542-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2024-07-15 |