| NPI | 1568590321 |
|---|---|
| Doing Business As | OAK PLACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY J RALEY Owner 228-864-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 0106201.1) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |