| NPI | 1962509802 |
|---|---|
| Doing Business As | TRADITION DRUG |
| Entity Type | Organization |
| Authorized Contact | BRENDA WARE CEO 580-436-5111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 23-6131) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-01-17 |