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 |