NPI | 1629193719 |
---|---|
Doing Business As | HOMELAND PHARMACY #195 |
Entity Type | Organization |
Authorized Contact | JOSH MILLER Director Of Pharmacy 405-290-3423 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 014640) |
Additional Taxonomies | 333600000X Pharmacy (Licence: OK 014640) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2023-05-11 |