| NPI | 1619194453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MARIE DESJARDINS Owner 405-737-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OK T-6052) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-01-30 |