| NPI | 1669125829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN RINEY CEO 405-818-9029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-08-08 |