| NPI | 1750527925 |
|---|---|
| Doing Business As | EXPRESS PHARMACY VITAL CARE |
| Entity Type | Organization |
| Authorized Contact | HENRY ROBERTS Owner 580-226-2684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 12-4184) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 12-4184) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OK 12-4184) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |