NPI | 1396835013 |
---|---|
Doing Business As | HOLDER DRUG |
Entity Type | Organization |
Authorized Contact | JOHN TODD HOLDER President 580-327-3332 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 50-2293) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 50-2293) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-09-21 |