Organization
OKEMAH PHARMACY MANAGEMENT LLC
Active
Other names
M & D Star Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER FRECH (PRESIDENT)
(918) 756-1322
Entity
Organization
Contact information
Practice address
108 S MORTON AVE, OKMULGEE, OK 74447-5022
(918) 756-1322
(918) 756-0638
Mailing address
108 S MORTON AVE, OKMULGEE, OK 74447-5022
(918) 756-1322
(918) 756-0638
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14-7336
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154312
PK
—
Enumeration date
10/26/2006
Last updated
02/28/2017
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