NPI | 1760810071 |
---|---|
Doing Business As | BROOKHAVEN PHARMACY & COMPOUNDING CENTER |
Entity Type | Organization |
Authorized Contact | KRISTY LAUREN DAVIS Pharmacist/PIC 405-801-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: OK 7-6445) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2016-05-23 |