NPI | 1235968488 |
---|---|
Doing Business As | BROKEN ARROW FAMILY DRUG |
Entity Type | Organization |
Authorized Contact | ANDI PENDERGRAFT Owner 918-451-3784 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2024-07-27 |
Last Update Date | 2024-07-28 |