# TOTALDOSE CHICKASHA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Care Pharmacy - LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376359463
- **Authorized official:** DAVID L GEORGE (CO-OWNER/MANAGER)
- **Authorized official phone:** (405) 562-1800

## Contact information

- **Practice address:** 2103 W IOWA AVE, CHICKASHA, OK 73018-2737
- **Practice address phone:** (405) 222-2273
- **Mailing address:** 14101 N EASTERN AVE STE A, EDMOND, OK 73013-5860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024
