Organization
CHANDLER-HEWITT DRUG INC
Active
Other names
CHANDLER HEWITT RX
Organization subpart
No
Provider details
NPI number
Authorized official
REX CHANDLER (CEO)
(580) 285-3474
Entity
Organization
Contact information
Practice address
4 E MAIN ST, IDABEL, OK 74745-4628
(580) 286-3474
(580) 286-7179
Mailing address
4 E MAIN ST, IDABEL, OK 74745-4628
(580) 286-3474
(580) 286-7179
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
252722
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3705463
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/03/2006
Last updated
06/23/2009
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