| NPI | 1598913147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN NUNLEY Office Manager 580-234-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 5-7137) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2019-08-22 |