Organization
HEARTLANDRXOK, LLC
Active
Other names
Heartland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE D MILLER (PRESIDENT/OWNER)
(405) 659-2784
Entity
Organization
Contact information
Practice address
501 W CARL HUBBELL BLVD, MEEKER, OK 74855-9119
(405) 279-1043
(405) 279-1058
Mailing address
501 W CARL HUBBELL BLVD, MEEKER, OK 74855-9119
(405) 279-1058
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31-8035
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200732050A
—
OK
Enumeration date
09/24/2017
Last updated
03/10/2021
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