| NPI | 1962593566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C. BAYER PIC 405-372-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 8-4039) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-03-07 |