NPI | 1356370175 |
---|---|
Doing Business As | CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID PICKETT Owner/Pharm 580-482-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 174101) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2019-05-28 |