Organization
KATHERINE R DOSSEY
Active
Other names
Wellston Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DOSSEY (OWNER)
(918) 267-8059
Entity
Organization
Contact information
Practice address
309 E 2ND ST, WELLSTON, OK 74881-9496
(405) 356-4199
(405) 356-4886
Mailing address
PO BOX 765, WELLSTON, OK 74881-0765
(405) 356-4886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31-5799
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245810A
—
OK
05
—
100245810B
—
OK
01
—
2076215
PK
—
Enumeration date
01/30/2007
Last updated
02/16/2017
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