NPI | 1962721464 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA BUTLER PIC/President 918-786-1092 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 45-7418) |
Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
Enumeration Date | 2010-05-24 |
Last Update Date | 2016-12-18 |