| NPI | 1477754463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY SIMONS Owner And Pharmacist 580-336-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 56-1529) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-04-08 |