| NPI | 1689680670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH LAREAU Pharmacy COO Rdinator 405-273-5236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 10-4078) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |