| NPI | 1790889038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNA FIEGEL Chief Pharmacist 580-237-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OK 53758) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2013-11-06 |