Carters Drug Inc,

NPI #1104116508 in Moore, Oklahoma

Provider Information

NPI Number
1104116508
Entity Type
Organization
Organization Name
Carters Drug Inc,
Primary Specialty
Pharmacy
Enumeration Date
Apr 19, 2011
Last Updated
Apr 19, 2011

Practice Location

Address
1400 SE 4TH ST
Address 2
SUITE H
City
Moore
ZIP Code
73160
Phone
(405) 799-7400

Authorized Official

Name
MR. RANDALL A CARTER, PA-C
Title
PHYSICIAN ASSISTANT
Phone
(405) 799-7400

Specialties & Taxonomy Codes

Specialty
Pharmacy

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