NPI | 1659063246 |
---|---|
Doing Business As | POTEAU FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | THOMAS CRANDELL Pharmacist 918-647-0453 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-06-30 |