| NPI | 1982668778 |
|---|---|
| Doing Business As | WESTERN DRUG #4 |
| Entity Type | Organization |
| Authorized Contact | ROSS FOSTER Pharmacist 580-323-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 28-4956) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-01-03 |