Organization
KINGSTON PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARRASH ASGARI PHARM.D. (OWNER/MANAGER)
(580) 564-2337
Entity
Organization
Contact information
Practice address
7 NORTH MAIN, P.O. BX 548, KINGSTON, OK 73439-0548
(580) 564-2337
(580) 564-2331
Mailing address
7 NORTH MAIN, PO BOX 548, KINGSTON, OK 73439-0548
(580) 564-2337
(580) 564-2331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
683875
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235770A
—
OK
01
—
278673
IMMY
OK
01
—
3711985
NABP
OK
Enumeration date
11/15/2005
Last updated
02/18/2020
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