| NPI | 1316343627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR KAYE NELSON Pharmacy Manager 405-391-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-3317) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2020-03-12 |