| NPI | 1902313604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BAYER President/PIC 405-372-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 8-6924) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-06-27 |