Organization
DAVIDS PHARMACY
Active
Organization
DAVIDS PHARMACY
Active
Other names
DAVIDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAYNE RPH (OWNER)
(405) 665-4225
Entity
Organization
Contact information
Practice address
1300 E KERR BLVD, WYNNEWOOD, OK 73098-1005
(405) 665-4225
(405) 665-2875
Mailing address
1300 E ROBERT S KERR BLVD, WYNNEWOOD, OK 73098-1005
(405) 665-4225
(405) 665-2875
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
223328
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2073682
PK
—
05
—
90003915204
—
OK
Enumeration date
12/13/2006
Last updated
06/07/2016
Update your record
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