| NPI | 1922182062 |
|---|---|
| Doing Business As | MEDX |
| Entity Type | Organization |
| Authorized Contact | JOYCE STROM Retail Support 501-296-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OK 21107) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 21107) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-11-15 |