| NPI | 1386997948 |
|---|---|
| Doing Business As | BROKEN ARROW FAMILY DRUG NORTH |
| Entity Type | Organization |
| Authorized Contact | TODD PENDERGRAFT President 918-451-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 2-6087) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2019-12-02 |