Organization
LARRY'S PHARMACY OF SULPHUR INC
Active
Other names
LARRYS HEALTHMART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY HOBBS DPH (OWNER)
(580) 622-3131
Entity
Organization
Contact information
Practice address
1012 W 2ND ST, SULPHUR, OK 73086-4814
(580) 622-3131
(580) 622-4578
Mailing address
1012 W 2ND ST, SULPHUR, OK 73086-4814
(580) 622-3131
(580) 622-4578
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
554503
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236130A
—
OK
01
—
2072610
PK
—
05
—
90003915386
—
OK
Enumeration date
08/10/2006
Last updated
07/18/2016
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