Organization
REIDS PHARMACY
Active
Other names
REIDS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT REID (OWNER)
(918) 273-0433
Entity
Organization
Contact information
Practice address
206 S ASH ST, NOWATA, OK 74048-4627
(918) 273-0433
(918) 273-0433
Mailing address
206 S ASH ST, NOWATA, OK 74048-4627
(918) 273-0433
(918) 273-0433
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
532351
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236200A
—
OK
01
—
2073739
PK
—
Enumeration date
10/20/2006
Last updated
04/27/2015
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