NPI | 1306493374 |
---|---|
Doing Business As | DERBY DRUG |
Entity Type | Organization |
Authorized Contact | WILLIAM EARL OSBORN Vice President 918-542-4444 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-08-23 |
Last Update Date | 2023-05-25 |