Organization
R & D STRATEGIES
Active
Other names
Hominy Drug & Gift
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DALE DERBY PHARMD (OWNER)
(918) 885-2715
Entity
Organization
Contact information
Practice address
104 W MAIN ST, HOMINY, OK 74035-1032
(918) 885-2715
(918) 885-4516
Mailing address
104 W MAIN ST, HOMINY, OK 74035-1032
(918) 885-2715
(918) 885-4516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
16-7026
OK
3336C0003X
Community/Retail Pharmacy
Primary
167026
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200581570A
—
OK
Enumeration date
05/12/2015
Last updated
06/15/2015
Update your record
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