NPI | 1538248208 |
---|---|
Doing Business As | COUCH PHARMACY ON SHERIDAN |
Entity Type | Organization |
Authorized Contact | NEAL JACKSON Pres Owner 918-835-9577 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 2-6978) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-11-03 |
Last Update Date | 2016-05-20 |