| NPI | 1316383649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH ABERCROMBIE Owner/Pharmacist 405-821-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-6280) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-01-31 |