| NPI | 1699772806 |
|---|---|
| Doing Business As | REAVIS DRUG |
| Entity Type | Organization |
| Authorized Contact | JULIE JUSTICE Authorized Official 405-447-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 22-3755) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2021-11-17 |