| NPI | 1366463432 |
|---|---|
| Doing Business As | BROKEN ARROW FAMILY DRUG |
| Entity Type | Organization |
| Authorized Contact | TODD PENDERGRAFT President 918-451-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 25344) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-01-11 |