Organization
PAUL JONES DRUG INC
Active
Other names
PAUL JONES DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MEADOR RPH (OWNER)
(580) 225-2121
Entity
Organization
Contact information
Practice address
105 N MAIN ST, ELK CITY, OK 73644-4751
(580) 225-3263
(580) 225-4216
Mailing address
PO BOX 467, ELK CITY, OK 73648-0467
(580) 225-2121
(580) 225-4216
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
35-4667
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233090A
—
OK
01
—
2072774
PK
—
Enumeration date
06/28/2005
Last updated
07/02/2014
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