| NPI | 1386755031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHRIS MILLER Owner 405-373-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 263819) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-11-04 |