Organization
PHARM SHAWNEE ACQUISITION LLC
Active
Other names
Shawnee Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FINN (OFFICER)
(469) 261-3048
Entity
Organization
Contact information
Practice address
1006 N HARRISON AVE, SHAWNEE, OK 74801-6419
(405) 273-7360
(405) 273-4384
Mailing address
1006 N HARRISON AVE, SHAWNEE, OK 74801-6419
(405) 273-7360
(405) 273-4384
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
10-6649
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239580A
—
OK
01
—
2145108
PK
—
Enumeration date
11/15/2006
Last updated
08/28/2025
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