| NPI | 1922445089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ATWOOD Member 405-919-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OK 1-6310) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2016-03-29 |