| NPI | 1477752004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY SHIPMAN Owner/Pharmacist 405-282-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 325178) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |