Organization
SWIPHT PHARMACY INC
Active
Other names
Med-World Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS WOLFF PHARMD (PHARMACIST IN CHARGE)
(917) 227-2010
Entity
Organization
Contact information
Practice address
14 S MISSION ST, SAPULPA, OK 74066-4634
(918) 227-2010
(917) 227-2843
Mailing address
14 S MISSION ST, SAPULPA, OK 74066-4634
(918) 227-2010
(917) 227-2843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
11-5825
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-5825
PHARMACY
OK
Enumeration date
10/04/2016
Last updated
10/04/2016
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