| NPI | 1891278750 |
|---|---|
| Doing Business As | CORNWELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY A STEWART Secretary/Treasurer 918-510-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 32-8282) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: OK 32-8282) |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OK 32-8282) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: OK 32-8282) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2021-09-28 |