NPI | 1790471407 |
---|---|
Doing Business As | DIVERSITY FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | QAIUUM FEROZ President 405-778-6820 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-04-14 |
Last Update Date | 2023-06-21 |