| NPI | 1558894790 |
|---|---|
| Doing Business As | OAK PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWIN O'BANNON CEO 662-449-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20697) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |