Organization
MEADOR DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN G MEADOR D.PH. (OWNER)
(580) 526-3311
Entity
Organization
Contact information
Practice address
215 W ROGER MILLER BLVD, ERICK, OK 73645-0090
(580) 526-3311
(580) 526-3275
Mailing address
215 W ROGER MILLER BLVD, P.O.BOX 90, ERICK, OK 73645-0090
(580) 526-3311
(580) 526-3275
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
35-2267
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22131
OSBNDD NUMBER
OK
01
—
239474
OK ST SALES TAX NUMBER
OK
01
—
35-2267
OK ST BOARD PHARMACY NUMB
OK
01
—
3704928
NCPDP NUMBER
OK
Enumeration date
03/01/2007
Last updated
03/07/2023
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