| NPI | 1477612851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MCDONALD Owner 405-275-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 10-4723) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |