Organization
KEYES COMPOUNDING & SPECIALY DRUG
Active
Other names
KEYES' FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE KEYES (OWNER)
(580) 526-3311
Entity
Organization
Contact information
Practice address
215 W ROGER MILLER BLVD, ERICK, OK 73645-0090
(580) 526-3311
(580) 526-3275
Mailing address
2103 S MAIN ST, SUITE K, ELK CITY, OK 73644-9166
(580) 225-5273
(580) 303-4483
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
356172
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139255
PK
—
Enumeration date
02/18/2013
Last updated
07/07/2014
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