Organization
DISCOUNT PHARMACIES INC
Active
Other names
GROVE DRIVE-IN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY BLACKBURN RPH (PHARMACY MGR)
(918) 786-2268
Entity
Organization
Contact information
Practice address
1027 S MAIN ST, GROVE, OK 74344-2847
(918) 786-2268
(918) 786-4088
Mailing address
PO BOX 451323, GROVE, OK 74345-1323
(918) 786-2268
(918) 786-4088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
454107
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232700C
—
OK
01
—
2081538
PK
—
Enumeration date
10/02/2006
Last updated
02/24/2021
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