| NPI | 1790722122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH MILLER Director Of Pharmacy 405-290-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 01-5192) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OK 1-5192) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-05-11 |