| NPI | 1760719744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE LEE President 918-381-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH21241) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2013-11-26 |