Organization
HUTTON PHARMACY INC
Active
Other names
HUTTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HUTTON (OWNER)
(580) 363-2137
Entity
Organization
Contact information
Practice address
119 N MAIN ST, BLACKWELL, OK 74631-2226
(580) 363-2137
(580) 363-5582
Mailing address
PO BOX 110, BLACKWELL, OK 74631-0110
(580) 363-2137
(580) 363-5582
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
61743
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233110A
—
OK
01
—
2072648
PK
—
05
—
90003904315
—
OK
Enumeration date
09/22/2005
Last updated
12/12/2014
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