Organization
BRATTON DRUGS INC
Active
Other names
BRATTON DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE BRATTON (PRESIDENT PHARMACIST)
(580) 782-2195
Entity
Organization
Contact information
Practice address
109 S OKLAHOMA AVE, MANGUM, OK 73554-4219
(580) 782-2195
(580) 782-3485
Mailing address
109 S OKLAHOMA AVE, MANGUM, OK 73554-4219
(580) 782-2195
(580) 782-3485
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6068
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232170A
—
OK
01
—
2072952
PK
—
Enumeration date
11/17/2006
Last updated
06/27/2015
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