NPI | 1902340763 |
---|---|
Doing Business As | R&S DRUG #3 |
Entity Type | Organization |
Authorized Contact | LESLEE MARIE KERN President 580-255-6292 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 13-7787) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2016-12-13 |
Last Update Date | 2020-05-29 |