Organization
BMTTH LLC
Active
Other names
Durant Drug, Durant Medical Pharmacy, Durant Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE OLLER (MANAGER)
(405) 761-7932
Entity
Organization
Contact information
Practice address
2432 W MAIN ST, DURANT, OK 74701-4807
(580) 920-1400
(580) 920-1451
Mailing address
2432 W MAIN ST, DURANT, OK 74701-4807
(580) 920-1400
(580) 920-1451
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27-7201
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200292460A
—
OK
01
—
2125165
PK
—
Enumeration date
05/20/2010
Last updated
10/29/2018
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