NPI | 1427649102 |
---|---|
Entity Type | Organization |
Authorized Contact | FIDELIS IFEANYI ARIGUZO Pharmacist In Charge 918-576-6602 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2021-01-27 |
Last Update Date | 2021-04-02 |