| NPI | 1922102151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN CARTER Authorized Official/President 405-947-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OK 1-4516) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-12-28 |