| NPI | 1417458829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER HOGAN Operations Manager 405-418-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2019-02-04 |