Organization
JOHN HENRY THOMASON
Active
Other names
JOHNS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMASON (OWNER AND PHARMACIST)
(918) 396-1636
Entity
Organization
Contact information
Practice address
201 E ROGERS BLVD, SKIATOOK, OK 74070-1251
(918) 396-1636
(918) 396-1637
Mailing address
201 E ROGERS BLVD, SKIATOOK, OK 74070-1251
(918) 396-1636
(918) 396-1637
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-94
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233060A
—
OK
01
—
3700487
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2007
Last updated
03/29/2013
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