Organization
RELIABLE DISCOUNT PHARMACY INC
Active
Other names
RELIABLE DISCOUNT PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SISEMORE PHARMACIST (OWNER)
(405) 681-6631
Entity
Organization
Contact information
Practice address
5900 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73119-7029
(405) 681-6631
(405) 681-4425
Mailing address
5900 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73119-7029
(405) 681-6631
(405) 681-4425
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13893
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243320A
—
OK
01
—
2081577
PK
—
05
—
90003927027
—
OK
Enumeration date
09/30/2006
Last updated
02/16/2017
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