| NPI | 1437216827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BRINKMEYER Pharmacy Supervisor 918-494-1059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: OK 23225) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-04-03 |