| NPI | 1801146782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RYAN ORTON Managing Member 405-206-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-09-20 |