| NPI | 1275840753 |
|---|---|
| Doing Business As | GRAVES DRUG |
| Entity Type | Organization |
| Authorized Contact | BILL OSBORN Vice President 918-542-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-10310) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2019-11-12 |