Organization
ELK CITY RX INC
Active
Other names
GRANDVIEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
COLBY BREWSTER PHARMD (PIC)
(580) 225-5550
Entity
Organization
Contact information
Practice address
1220 W 3RD ST, ELK CITY, OK 73644-5106
(580) 225-5550
(580) 225-6658
Mailing address
PO BOX 370, ELK CITY, OK 73648-0370
(580) 225-5550
(580) 225-6658
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
35-5899
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200126890A
—
OK
01
—
2074429
PK
—
Enumeration date
10/28/2005
Last updated
10/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us