Organization
J & S BINGHAM LLC
Active
Other names
Antlers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BINGHAM PHARMD (OWNER)
(580) 298-3377
Entity
Organization
Contact information
Practice address
810 E MAIN ST, ANTLERS, OK 74523-2661
(580) 298-3377
(580) 298-6260
Mailing address
PO BOX 487, ANTLERS, OK 74523-0487
(580) 298-3377
(580) 298-6260
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
59-7303
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237020A
—
OK
01
—
2154996
PK
—
Enumeration date
12/01/2006
Last updated
12/27/2021
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