Organization
TEXOMA MEDICAL SERVICE, INC.
Active
Other names
Western Drug #5
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH COLE PHD (PHARMACIST)
(580) 922-4403
Entity
Organization
Contact information
Practice address
908 N.W. HIGHWAY 270, STE. A, SEILING, OK 73663
(580) 922-4403
(580) 922-4405
Mailing address
PO BOX 236, TALOGA, OK 73667-0236
(580) 328-5208
(580) 328-5211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
705362
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100846370O
—
OK
01
—
2118541
PK
—
Enumeration date
12/10/2008
Last updated
06/07/2021
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