| NPI | 1508651522 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM EARL OSBORN VP 918-542-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |