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Organization

GATRELL 6 ENTERPRISES LLC

Active
Other names
WEIGANTS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
GAVIN GATRELL (OWNER)
(918) 287-1158
Entity
Organization

Contact information

Practice address
714 KIHEKAH AVE, PAWHUSKA, OK 74056-3206
(918) 287-1317
(918) 287-1158
Mailing address
714 KIHEKAH AVE, PAWHUSKA, OK 74056-3206
(918) 287-1317
(918) 287-1158

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100237390A
OK
01
2073862
PK
Enumeration date
09/30/2006
Last updated
12/06/2021
About Stedi
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  • Eligibility checks
  • EDI platform