Lone Grove Pharmacy LLC
NPI #1174179154 in Ardmore, Oklahoma
Provider Information
- NPI Number
- 1174179154
- Entity Type
- Organization
- Organization Name
- Lone Grove Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 14, 2019
- Last Updated
- Aug 14, 2019
Practice Location
Authorized Official
- Name
- ELMER GENE HUMPHREYS III, D.PH.
- Title
- OWNER
- Phone
- (405) 301-7681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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