Organization
ELGIN PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN MATTHEW JONES PHARMD (MEMBER)
(580) 492-5007
Entity
Organization
Contact information
Practice address
12889 COMMERCE DR, ELGIN, OK 73538-3869
(580) 492-5007
(580) 492-5090
Mailing address
12889 COMMERCE DR, ELGIN, OK 73538-3869
(580) 492-5007
(580) 492-5090
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3-5152
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200757190A
—
OK
Enumeration date
02/14/2018
Last updated
12/03/2024
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