| NPI | 1700922317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BRAKEBILL Owner And Pharmacist 405-631-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 12583) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-09-12 |