Organization
SSM HEALTH CARE OF OKLAHOMA INC
Active
Other names
St. Anthony Pharmacy East
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DREYLING (DOP)
(405) 272-6393
Entity
Organization
Contact information
Practice address
3400 S DOUGLAS BLVD, OKLAHOMA CITY, OK 73150-1001
(405) 772-4034
Mailing address
3400 S DOUGLAS BLVD, OKLAHOMA CITY, OK 73150-1001
(405) 772-4034
(405) 772-4042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-7683
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147052
PK
—
Enumeration date
07/16/2014
Last updated
11/22/2016
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