Organization
MIDTOWN DRUG
Active
Other names
Midtown Drug, Midtown Drug, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG HOANG PHARMD (OWNER/MANAGER)
(405) 768-1002
Entity
Organization
Contact information
Practice address
525 NW 11TH ST STE 112, OKLAHOMA CITY, OK 73103-2405
(405) 768-1002
(888) 626-6036
Mailing address
525 NW 11TH ST STE 112, OKLAHOMA CITY, OK 73103-2405
(405) 768-1002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201106790A
—
OK
Enumeration date
05/05/2022
Last updated
12/12/2023
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