Shattuck Pharmacy Management INC

NPI #1720163959 in Shattuck, Oklahoma

Provider Information

NPI Number
1720163959
Entity Type
Organization
Organization Name
Shattuck Pharmacy Management INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 26, 2006
Last Updated
Oct 27, 2021

Practice Location

Address
522 S MAIN ST
ZIP Code
73858-9604
Phone
(580) 938-2854

Authorized Official

Name
KYLE JOHNSON, DPH
Title
PIC
Phone
(580) 938-2854

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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