| NPI | 1669867396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L WEED Treasurer 405-951-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 5-7196) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2025-08-19 |