| NPI | 1366216095 |
|---|---|
| Doing Business As | GRAVES DRUG LTC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM EARL OSBORN Vice President 918-542-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-07-15 |