| NPI | 1902999345 |
|---|---|
| Doing Business As | KENS HEALTHMART PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | KEN HIBBARD Owner 918-225-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 8-2834) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2016-01-13 |