| NPI | 1811012354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RENEA STANDRIDGE Owner 405-485-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 47-3971) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-03-07 |