Sooner Pharmacy INC of Tishomingo
NPI #1891874566 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1891874566
- Entity Type
- Organization
- Organization Name
- Sooner Pharmacy INC of Tishomingo
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Feb 7, 2011
Practice Location
- Address
- 101 S BYRD ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-2216
- Phone
- (580) 371-9509
Authorized Official
- Name
- MIKE LAFEVERS
- Title
- PRES AND MGR
- Phone
- (580) 371-9509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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