NPI | 1285824128 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD EMRY HESTON Owner 405-702-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 15219) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 6125980001) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2008-10-14 |