| NPI | 1700963113 |
|---|---|
| Other Name | ATTN: PHARMACY AND NUTRITION SHOPPE |
| Entity Type | Organization |
| Authorized Contact | DEBRA DUFOUR Pharmacist 918-286-5370 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 2-5010) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-07-02 |