| NPI | 1851818249 |
|---|---|
| Doing Business As | BRODIE LANE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AARON WILLIAMS Owner/Pharmacist 580-678-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 31570) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-04-14 |