Organization
PHILLIPS DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANN PHILLIPS (OWNER)
(580) 402-2342
Entity
Organization
Contact information
Practice address
1925 W OWEN K GARRIOTT RD, ENID, OK 73703-5528
(580) 402-2342
Mailing address
1925 W OWEN K GARRIOTT RD, ENID, OK 73703-5528
(580) 402-2342
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5-1102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90003905981
—
OK
Enumeration date
01/15/2007
Last updated
08/22/2020
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