# PHARMCAREOK OF HYDRO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457380164
- **Authorized official:** MR. BARNEY KENT ABBOTT DPH (PRES CEO)
- **Authorized official phone:** (405) 663-4111

## Contact information

- **Practice address:** 510 ARAPAHO ST, HYDRO, OK 73048
- **Practice address phone:** (405) 663-4111
- **Practice address fax:** (405) 663-4114
- **Mailing address:** PO BOX 70, HYDRO, OK 73048
- **Mailing address phone:** (405) 663-4111
- **Mailing address fax:** (405) 663-4114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 204601 | OK | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 01/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100247290A | — | OK |
| 01 | — | 3723384 | NCPDP | — |