| NPI | 1538149976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK RAZOOK Owner/Pharmacist 405-377-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 8-2789) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2008-02-14 |