| NPI | 1467750430 |
|---|---|
| Doing Business As | MEDICINE SHOPPE #0736 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL VORNDRAN Pharmacist Owner 405-273-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 102995) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |