| NPI | 1528143815 |
|---|---|
| Doing Business As | THE MEDICINE STORE |
| Entity Type | Organization |
| Authorized Contact | NELSON EDGEMAN President 580-916-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 27-4393) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-11-18 |