Organization
LOGSDON LOTZ DRUG INC
Active
Other names
DONS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LOTZ DPH (OWNER)
(405) 969-3518
Entity
Organization
Contact information
Practice address
101 N GRAND, CRESCENT, OK 73028
(405) 969-3518
(405) 969-2208
Mailing address
PO BOX 626, CRESCENT, OK 73028-0626
(405) 969-3518
(405) 969-2208
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
32-1953
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236800A
—
OK
01
—
2072715
PK
—
Enumeration date
08/01/2006
Last updated
10/05/2016
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