| NPI | 1396164935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA BETH STINNETT Pharmacy Manager 405-364-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 7-1771) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |