Organization
NEWMAN MEDICAL CENTER PHARMACY INC
Active
Other names
NEWMAN MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HERBER (OWNER AND PHARMACIST)
(580) 938-5127
Entity
Organization
Contact information
Practice address
905 S MAIN ST, SHATTUCK, OK 73858-9205
(580) 938-5127
(580) 938-2498
Mailing address
905 S MAIN ST, SHATTUCK, OK 73858-9205
(580) 938-5127
(580) 938-2498
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
755174
OK
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2073251
PK
—
05
—
90003901428
—
OK
Enumeration date
11/15/2006
Last updated
05/25/2016
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