| NPI | 1962837039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KORINNE HAMMONDS Owner/Pharmacist 580-326-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-02-12 |