Organization
CARTERS DRUG INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL A CARTER PA-C (PHYSICIAN ASSISTANT)
(405) 799-7400
Entity
Organization
Contact information
Practice address
1400 SE 4TH ST, SUITE H, MOORE, OK 73160
(405) 799-7400
(405) 799-7405
Mailing address
1400 SE 4TH ST, SUITE H, MOORE, OK 73160
(405) 799-7400
(405) 799-7405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
12203
OK
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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