Matt's Country Boy Pharmacy LLC
NPI #1164774709 in Choctaw, Oklahoma
Provider Information
- NPI Number
- 1164774709
- Entity Type
- Organization
- Organization Name
- Matt's Country Boy Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 5, 2012
- Last Updated
- Aug 25, 2016
Practice Location
Authorized Official
- Name
- MATT EVANS
- Title
- PHARMACIST/OWNER
- Phone
- (405) 390-3205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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