Organization
JAY FAMILY DRUG INC
Active
Other names
V AND V DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CULVER (OWNER)
(918) 253-4519
Entity
Organization
Contact information
Practice address
453 S MAIN, JAY, OK 74346-0449
(918) 253-4519
(918) 253-3347
Mailing address
PO BOX 449, JAY, OK 74346-0449
(918) 253-4519
(918) 253-3347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
45-5144
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234400A
—
OK
01
—
2072535
PK
—
Enumeration date
10/25/2006
Last updated
05/08/2013
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