| NPI | 1750522421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY MARIE SMITH PIC 405-238-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 22-5367) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |