| NPI | 1437797248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIET B NGUYEN Pharmacist In Charge 405-543-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2021-10-29 |