| NPI | 1750470969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BOLTON President 580-933-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 251756) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |