City Drug of Idabel INC

NPI #1093808438 in Idabel, Oklahoma

Provider Information

NPI Number
1093808438
Entity Type
Organization
Organization Name
City Drug of Idabel INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 30, 2006
Last Updated
Jul 2, 2014

Practice Location

Address
12 S CENTRAL AVE
City
Idabel
ZIP Code
74745-4626
Phone
(580) 286-3235

Authorized Official

Name
JERRY NICHOLSON, RPH
Title
OWNER
Phone
(580) 286-3235

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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