NPI | 1245390400 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE ALLEN ROSS Pharmacist 580-332-4455 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 233836) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |