Organization
TIGER DRUG COMPANY
Active
Other names
Tiger Drug Co.
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS (PRESIDENT)
(405) 742-8099
Entity
Organization
Contact information
Practice address
825 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-7900
(405) 377-5139
Mailing address
825 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-7900
(405) 377-5139
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8-6744
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236970A
—
OK
01
—
2146057
PK
—
Enumeration date
10/26/2006
Last updated
07/02/2014
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