| NPI | 1619170628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA BROOKS Pharmacist In Charge 580-477-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 333600000X) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-02-27 |