| NPI | 1629419726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K. SACKET Medical Director 405-789-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OK 1-6171) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |