| NPI | 1982806527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE KEITH WHITEHEAD Owner/Pharmacist 580-234-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: OK 5-5173) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2010-04-01 |