Organization
HEROD DRUG, LLC.
Active
Other names
Thomas Drug, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN ANN HARRELSON DPH (PIC/AUTH)
(580) 886-3445
Entity
Organization
Contact information
Practice address
212 W MAIN, CANTON, OK 73724
(580) 886-3444
(580) 886-3445
Mailing address
PO BOX 603, CANTON, OK 73724
(580) 886-3444
(580) 886-3445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
49-6045
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245360A
—
OK
01
—
2074042
PK
—
01
—
3714967
NCPDP
—
Enumeration date
10/23/2006
Last updated
05/28/2024
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