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Organization
MEDICAL CENTER PHARMACY OF DURANT INC
Active
Organization
MEDICAL CENTER PHARMACY OF DURANT INC
Active
Other names
ADVANCED CARE MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG W SEAY DPH (PRESIDENT)
(580) 924-7425
Entity
Organization
Contact information
Practice address
506 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-2727
(580) 371-2370
Mailing address
1026 RADIO RD, DURANT, OK 74701-2991
(580) 924-2626
(580) 924-5171
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
61-S-793
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234540D
—
OK
Enumeration date
05/28/2006
Last updated
02/28/2014
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