NPI | 1558735654 |
---|---|
Doing Business As | SPECIATLY PHARMACY |
Entity Type | Organization |
Authorized Contact | HUNTER JOE HOGAN Pharmacy Operations Manager 405-640-7545 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2015-11-30 |
Last Update Date | 2024-01-04 |