| NPI | 1669885828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DONALD MOORE Pharmacist/Owner 580-223-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 125653) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-06 |