| NPI | 1447783659 |
|---|---|
| Doing Business As | PATRIOT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID O ROURKE Owner 918-298-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 2-7611) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |