| NPI | 1568015659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMZA MUHAMMAD Member 405-724-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-08-13 |