| NPI | 1609093681 |
|---|---|
| Doing Business As | COUNTRY BOY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATT EVANS Pharmacist 405-390-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-4081) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-12-09 |