| NPI | 1861510083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S DIMONICO Pharmacist Owner 405-634-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 7139) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OK 11466) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |