# SUSAN WELLS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kemp Drug & Gift LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699599019
- **Authorized official:** SUSAN WELLS (PRESIDENT/PIC)
- **Authorized official phone:** (918) 367-3391

## Contact information

- **Practice address:** 215 N MAIN ST, BRISTOW, OK 74010-2407
- **Practice address phone:** (918) 367-3391
- **Practice address fax:** (918) 367-3392
- **Mailing address:** 215 N MAIN ST, BRISTOW, OK 74010-2407
- **Mailing address phone:** (918) 367-3391
- **Mailing address fax:** (918) 367-3392

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2024
- **Last updated:** 11/12/2024