Organization
HEROD DRUG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY LUCKIE DPH (CO-OWNER)
(580) 822-3789
Entity
Organization
Contact information
Practice address
212 W MAIN, CANTON, OK 73724
(580) 886-3444
(580) 886-3445
Mailing address
PO BOX 419, CANTON, OK 73724-0419
(580) 886-3444
(580) 886-3445
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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