NPI | 1285134825 |
---|---|
Doing Business As | INTEGRIS REGENCY PHARMACY |
Entity Type | Organization |
Authorized Contact | MITZI MCCULLOCK Interim Vice President 405-713-5512 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: OK 21-6864) |
Enumeration Date | 2018-02-20 |
Last Update Date | 2018-02-20 |