| NPI | 1518903319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ANTHONY MILLER Pharmacist In Charge/President 405-381-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 13224) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: OK T116) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |