Organization
SKINNER PHARMACIES INC
Active
Other names
Paul Jones Drug
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EARL OSBORN (VP)
(918) 542-4444
Entity
Organization
Contact information
Practice address
809 NORTH MAIN STREET, ELK CITY, OK 73644-4751
(580) 225-2121
(580) 225-4216
Mailing address
809 NORTH MAIN STREET, ELK CITY, OK 73644-4751
(580) 225-3263
(580) 225-4216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
35-6773
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200545540A
—
OK
05
—
200545540B
—
OK
01
—
2146917
PK
—
01
—
35-8947
PHARMACY LICENSE
OK
Enumeration date
07/18/2014
Last updated
05/22/2025
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