Organization
KND ENTERPRISES LLC
Active
Other names
Bean Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LYNN BEAN (OWNER)
(580) 229-1141
Entity
Organization
Contact information
Practice address
11103 HWY 76, HEALDTON, OK 73438
(580) 229-1141
(580) 229-1136
Mailing address
11103 HWY 76, HEALDTON, OK 73438
(580) 229-1141
(580) 229-1136
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12-6228
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200440900A
—
OK
Enumeration date
07/08/2012
Last updated
11/25/2020
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