| NPI | 1407901671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI K GIBSON Chief Pharmacist Owner 580-765-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 6-2133) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-04-30 |