| NPI | 1831591288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN WILCOX Registered Community Leader 918-724-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 12521) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |