| NPI | 1639518038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GEORGE Co Owner 405-562-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-07-06 |