Organization
WINDSOR PARK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD EMRY HESTON PHARM.D. (OWNER)
(405) 702-4747
Entity
Organization
Contact information
Practice address
2506 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-1035
(405) 702-4747
(405) 702-4765
Mailing address
2506 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-1035
(405) 702-4747
(405) 702-4765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6125980001
OK
3336C0003X
Community/Retail Pharmacy
Primary
15219
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3725047
OTHER ID NUMBER
—
Enumeration date
07/26/2007
Last updated
10/14/2008
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