Organization
MAY'S DRUG STORES, INC.
Active
Other names
MAY'S CLINIC #36
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M. BOONE (DIRECTOR OF HME OPERATIONS)
(479) 394-6363
Entity
Organization
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 492-7400
(918) 492-8613
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24227
OK
3336C0002X
Clinic Pharmacy
24227
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241490Q
—
OK
01
—
20114890G
MEIDCAID DME
OK
01
—
3700057
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
400522489
MEDICARE FLU
OK
Enumeration date
10/25/2006
Last updated
11/04/2008
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