Organization
YUKON PHARMACY INC
Active
Other names
West Pointe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD EMRY HESTON PHARMD (OWNER / PHARMACIST-IN-CHARGE)
(405) 256-6653
Entity
Organization
Contact information
Practice address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 256-6653
(405) 256-6647
Mailing address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 256-6653
(405) 256-6647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26-7775
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200276370A
—
OK
01
—
2123191
PK
—
Enumeration date
12/15/2009
Last updated
11/08/2021
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