| NPI | 1629602651 |
|---|---|
| Doing Business As | HENRYETTA DRUG |
| Entity Type | Organization |
| Authorized Contact | RYAN JAY RITTER Manager 580-889-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2021-11-08 |