| NPI | 1265442164 |
|---|---|
| Doing Business As | CANADIAN VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS SMITH Co Owner/Manager 405-262-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 26-8078) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-08-10 |