NPI | 1831282276 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY JAMES Owner Pharmacist 580-225-3610 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: OK 351615) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2006-09-30 |
Last Update Date | 2020-08-22 |