| NPI | 1982789038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMER A FRECH President 918-623-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 514473) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 50) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-06-01 |