Pharmology Tishmingo Acquisition LLC
NPI #1124642178 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1124642178
- Entity Type
- Organization
- Organization Name
- Pharmology Tishmingo Acquisition LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 5, 2020
- Last Updated
- Dec 15, 2020
Practice Location
- Address
- 140 E MAIN ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-2838
- Phone
- (580) 371-2355
Authorized Official
- Name
- SUSAN RITTER, DPH
- Title
- OWNER
- Phone
- (580) 889-0230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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