| NPI | 1851306476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ANDERSON Corp Dir Of Phcy And Materials 405-917-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 75069) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |