| NPI | 1679649339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EARL OSBORN VP 918-542-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR13219) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-05-22 |