Organization
MEDICINE CHEST PHARMACY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLARD DEAN HOLSTED DPH (PRES & OWNER)
(405) 262-1835
Entity
Organization
Contact information
Practice address
201 S BICKFORD AVE, EL RENO, OK 73036-5600
(405) 262-1222
(405) 262-0033
Mailing address
201 S BICKFORD AVE, EL RENO, OK 73036-5600
(405) 262-1222
(405) 262-0033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
OKLA7497
OK
Other
Enumeration date
09/20/2006
Last updated
02/05/2008
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