| NPI | 1396381679 |
|---|---|
| Doing Business As | ROOF DRUG |
| Entity Type | Organization |
| Authorized Contact | JOHNA K. ROOF Pharmacy Owner/Manager 580-302-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-01-31 |