| NPI | 1487694816 |
|---|---|
| Doing Business As | AT HOME MEDICAL OF PONCA CITY |
| Entity Type | Organization |
| Authorized Contact | ALICE ROSEWITZ COO 580-765-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OK 6-5084) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |