| NPI | 1790825974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL E MCADOO Owner 580-799-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: OK 684404) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |