NPI | 1437157559 |
---|---|
Doing Business As | WEST END DRUG |
Entity Type | Organization |
Authorized Contact | BRAD CLEMMER Owner And Pharm 580-536-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 3-4619) |
Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2005-07-12 |
Last Update Date | 2015-10-20 |