Organization
SANZRO LLC
Active
Other names
S & D Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT CAMPBELL (OWNER)
(580) 323-2020
Entity
Organization
Contact information
Practice address
915 FRISCO AVE, CLINTON, OK 73601-3324
(580) 323-2020
(580) 323-3108
Mailing address
915 FRISCO AVE, CLINTON, OK 73601-3324
(580) 323-2020
(580) 323-3108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28-5420
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236080A
—
OK
01
—
2120362
PK
—
Enumeration date
07/01/2005
Last updated
06/23/2021
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