Organization
LONE GROVE PHARMACY LLC
Active
Other names
Lone Grove Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER GENE HUMPHREYS III D.PH. (OWNER)
(405) 301-7681
Entity
Organization
Contact information
Practice address
45 ALMOND DR, ARDMORE, OK 73401-2405
(405) 301-7681
Mailing address
4750 TRAVERTINE APT 722, ARDMORE, OK 73401-5594
(405) 301-7681
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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