| NPI | 1568004232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA TALBOT Gh Help Desk Manager 918-382-7300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-12-16 |