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Organization

MEDX CORPORATION

Active
Other names
DRUG MART
Organization subpart
No

Provider details

NPI number
Authorized official
JOYCE STROM (RETAIL SUPPORT)
(501) 296-3312
Entity
Organization

Contact information

Practice address
8705 N 117TH EAST AVE, OWASSO, OK 74055-2065
(918) 272-1181
(918) 272-2619
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23638
OK
333600000X
Pharmacy
23638
OK
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3718496
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/25/2006
Last updated
11/15/2007
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