NPI | 1477674075 |
---|---|
Doing Business As | KANZA PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMES NEAL SMITH Pharmacist 580-362-2449 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Additional Taxonomies | 183500000X Pharmacist (Licence: OK 6-4338) |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2022-03-22 |