Organization
KENNEDY DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA KENNEDY (OWNER)
(510) 395-2831
Entity
Organization
Contact information
Practice address
107 E CHEROKEE ST, MEDFORD, OK 73759-1209
(580) 395-2831
(580) 395-2717
Mailing address
107 E CHEROKEE ST, MEDFORD, OK 73759-1209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
642690
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3705968
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
90003919040
—
OK
Enumeration date
09/20/2006
Last updated
09/11/2025
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