| NPI | 1962401539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE NEELY Vice President 918-451-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK N/A) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OK 2-4580) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |