| NPI | 1568758555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURY CAMPBELL Pharmacist 405-707-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 85582) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |