# NEWMAN MEDICAL CENTER PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEWMAN MEDICAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366515926
- **Authorized official:** JOHN HERBER (OWNER AND PHARMACIST)
- **Authorized official phone:** (580) 938-5127

## Contact information

- **Practice address:** 905 S MAIN ST, SHATTUCK, OK 73858-9205
- **Practice address phone:** (580) 938-5127
- **Practice address fax:** (580) 938-2498
- **Mailing address:** 905 S MAIN ST, SHATTUCK, OK 73858-9205
- **Mailing address phone:** (580) 938-5127
- **Mailing address fax:** (580) 938-2498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 755174 | OK | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 05/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2073251 | PK | — |
| 05 | — | 90003901428 | — | OK |