| NPI | 1952946022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICO GOMEZ CEO 405-789-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2024-08-14 |