| NPI | 1376554931 |
|---|---|
| Doing Business As | BOOTHE DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | TRUETT GUTHRIE Owner 580-726-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 4165) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-05-27 |