Organization
SPOON DRUGS INC
Active
Other names
SPOON DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM OSBORN (SEC/TREAS)
(918) 542-4444
Entity
Organization
Contact information
Practice address
540 PLAZA CT, SAND SPRINGS, OK 74063-7915
(918) 245-9693
(918) 245-5906
Mailing address
540 PLAZA CT, SAND SPRINGS, OK 74063-7915
(918) 245-9693
(918) 245-5906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-2298
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236150A
—
OK
01
—
2073684
PK
—
Enumeration date
11/03/2006
Last updated
05/23/2025
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