Organization
ROLAND PHARMACY INC
Active
Other names
ROLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BERRYE SMITH (OWNER)
(918) 427-3219
Entity
Organization
Contact information
Practice address
100 E RAY FINE BLVD, ROLAND, OK 74954-5198
(918) 427-3219
(918) 427-3210
Mailing address
PO BOX 520, ROLAND, OK 74954-0520
(918) 427-3219
(918) 427-3210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
342334
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100806610B
—
OK
05
—
130941407
—
AR
01
—
2073727
PK
—
Enumeration date
03/06/2007
Last updated
05/18/2015
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