| NPI | 1972679926 |
|---|---|
| Doing Business As | SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HUNTER J HOGAN Operations Manager 405-640-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-01-04 |