Kingfisher Pharmacy Management Pllc

NPI #1174827273 in Kingfisher, Oklahoma

Provider Information

NPI Number
1174827273
Entity Type
Organization
Organization Name
Kingfisher Pharmacy Management Pllc
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 4, 2011
Last Updated
Jan 20, 2015

Practice Location

Address
119 W ADMIRE AVE
ZIP Code
73750-2609
Phone
(405) 375-3202

Authorized Official

Name
GREGORY HUENERGARDT
Title
MEMBER MANAGER
Phone
(580) 938-2854

Specialties & Taxonomy Codes

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

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