| NPI | 1669566071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET PERKINS Pharmacist 580-795-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 68-7237) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-12-13 |