Organization
EDMOND PREMIER DRUG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ALAN GRUNDY RPH (PHARMACIST)
(405) 401-3179
Entity
Organization
Contact information
Practice address
1101 W 15TH ST, EDMOND, OK 73013-3008
(405) 348-0220
(405) 348-0459
Mailing address
1101 W 15TH ST, EDMOND, OK 73013-3008
(405) 348-0220
(405) 348-0459
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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