# BINTZ PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bintz Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275072977
- **Authorized official:** MR. MATT P BINTZ (OWNER/PRESIDENT)
- **Authorized official phone:** (580) 765-3055

## Contact information

- **Practice address:** 2701 N 14TH ST, PONCA CITY, OK 74601-1738
- **Practice address phone:** (580) 765-3055
- **Practice address fax:** (580) 765-3410
- **Mailing address:** 2701 N 14TH ST, PONCA CITY, OK 74601-1738
- **Mailing address phone:** (580) 765-3055
- **Mailing address fax:** (580) 765-3410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 6-5771 | OK | Yes |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 10/17/2018