| NPI | 1386667186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE WHITEHEAD Partner 580-234-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: OK 54603) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |