| NPI | 1417381294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ABBOTT Manager 405-663-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO 0000000666) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |