NPI | 1972000628 |
---|---|
Doing Business As | ARDMORE VETERANS CENTER |
Entity Type | Organization |
Authorized Contact | TINA WILLIAMS Compliance Director 405-523-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OK 12-2534) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-04-10 |
Last Update Date | 2018-04-10 |