Organization
CENTRAL DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTE EUGENE SNIDER DPH (CHIEF PHARMACIST/MANAGER)
(405) 489-3521
Entity
Organization
Contact information
Practice address
307 NORTH MAIN ST., CEMENT, OK 73017-0300
(405) 489-3521
(405) 489-3521
Mailing address
PO BOX 300, CEMENT, OK 73017-0300
(405) 489-3521
(405) 489-3521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20-2778
OK
Other
Enumeration date
07/05/2005
Last updated
08/22/2020
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