Organization
MARLOW MEDICINE
Active
Other names
Marlow Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SHELBY (DPH)
(580) 658-6060
Entity
Organization
Contact information
Practice address
129 N BROADWAY ST, MARLOW, OK 73055-2433
(580) 658-6060
(580) 658-6061
Mailing address
129 N BROADWAY ST, MARLOW, OK 73055-2433
(580) 658-6060
(580) 658-6061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13-7421
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200217110A
—
OK
01
—
2117519
PK
—
Enumeration date
10/21/2008
Last updated
02/20/2017
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