Organization
ONESOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY DAVID HUDGINS (PRESIDENT)
(580) 980-2190
Entity
Organization
Contact information
Practice address
100 DON WILLIAMS AVE, STE 100, TUTTLE, OK 74730
(580) 980-2190
(405) 689-6045
Mailing address
31 LIBERTY ST, CALERA, OK 74730-5519
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
18-7966
OK
Other
Enumeration date
08/18/2017
Last updated
06/16/2018
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