Organization
FAITHCARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS AN FOSTER DPH (OWNER)
(580) 309-2137
Entity
Organization
Contact information
Practice address
220 OK- 44, BURNS FLAT, OK 73647
(580) 562-3629
Mailing address
10266 N 2126 RD, FOSS, OK 73647-4772
(580) 562-3629
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-9816
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
12/20/2024
Last updated
02/26/2025
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