| NPI | 1639249444 |
|---|---|
| Doing Business As | BIVENS DRUG |
| Entity Type | Organization |
| Authorized Contact | JERRY DENNIS President 580-922-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 705920) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-08-24 |