Organization
SOONER PHARMACY OF DAVIS INC
Active
Other names
SOONER PHARMACY OF DAVIS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE RPH (PRESIDENT)
(580) 369-3776
Entity
Organization
Contact information
Practice address
705 E MAIN ST, DAVIS, OK 73030-1913
(580) 369-3776
(580) 369-2115
Mailing address
705 E MAIN ST, DAVIS, OK 73030-1913
(580) 369-3776
(580) 369-2115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55-4238
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238120A
—
OK
01
—
2073930
PK
—
Enumeration date
08/10/2006
Last updated
07/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us