Organization
ERNIES PHARMACY & WELLNESS CENTER
Active
Other names
ERNIES PHARMACY AND WELLNESS CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNIE SYKORA (OWNER)
(918) 682-7085
Entity
Organization
Contact information
Practice address
410 S 32ND ST, MUSKOGEE, OK 74401-5007
(918) 683-0611
(918) 683-0620
Mailing address
410 S 32ND ST, MUSKOGEE, OK 74401-5007
(918) 683-0611
(918) 683-0620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
45188
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200198680A
—
OK
01
—
2077137
PK
—
Enumeration date
06/21/2007
Last updated
01/26/2015
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