Jinny Ann 4 Corporation

NPI #1538266796 in Del City, Oklahoma

Provider Information

NPI Number
1538266796
Entity Type
Organization
Organization Name
Jinny Ann 4 Corporation
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 20, 2006
Last Updated
May 24, 2016

Practice Location

Address
3252 SE 29TH ST
ZIP Code
73115-1601
Phone
(405) 677-0549

Authorized Official

Name
JOHN LASSITER
Title
PRESIDENT
Phone
(405) 677-0549

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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