Drug Store
NPI #1285645846 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1285645846
- Entity Type
- Organization
- Organization Name
- Drug Store
- Primary Specialty
- Pharmacy
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 2801 PARKLAWN DR STE 102
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4224
- Phone
- (405) 733-2881
Authorized Official
- Name
- DR. STEVEN MATLOCK
- Title
- CO OWNER MGR
- Phone
- (405) 733-2881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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