Organization
MUSTANG DRUG LLC
Active
Other names
Mustang Drug
Organization subpart
No
Provider details
NPI number
Authorized official
SELMA ALAMI PHARMD (CO-OWNER/ PHARMACIST-IN-CHARGE)
(405) 256-0555
Entity
Organization
Contact information
Practice address
103 E STATE HIGHWAY 152, MUSTANG, OK 73064-4406
(405) 256-0555
(405) 256-0565
Mailing address
103 E STATE HIGHWAY 152, MUSTANG, OK 73064-4406
(405) 256-0555
(405) 256-0565
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200682900A
—
OK
01
—
2164331
PK
—
Enumeration date
09/21/2016
Last updated
07/03/2020
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