| NPI | 1730108770 |
|---|---|
| Doing Business As | SALLISAW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIMMY RISLEY President 918-775-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 34-3071) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-02-16 |