NPI | 1326443565 |
---|---|
Doing Business As | JANE PHILLIPS MEDCARE AMBULATORY PHARMACY |
Entity Type | Organization |
Authorized Contact | MIKE MOORE COO 918-331-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 96964) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2014-10-30 |
Last Update Date | 2016-12-28 |