Organization
CONSUMERS IGA PHARMACY
Active
Other names
CONSUMERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBETH EADES (PHARMACY MANAGER)
(405) 372-5242
Entity
Organization
Contact information
Practice address
909 W 6TH AVE, STILLWATER, OK 74074-4302
(405) 372-5242
(405) 372-2831
Mailing address
909 W 6TH AVE, STILLWATER, OK 74074-4302
(405) 372-5242
(405) 372-2831
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
83809
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244650A
—
OK
01
—
2074705
PK
—
Enumeration date
02/02/2007
Last updated
04/14/2015
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