Organization
TRUETT GUTHRIE
Active
Other names
BOOTHE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
TRUETT GUTHRIE DPH (OWNER)
(580) 726-2221
Entity
Organization
Contact information
Practice address
100 W 4TH ST, HOBART, OK 73651-4010
(580) 726-2221
(580) 726-3530
Mailing address
100 W 4TH ST, HOBART, OK 73651-4010
(580) 726-2221
(580) 726-3530
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4165
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232150A
—
OK
01
—
3705273
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
05/27/2010
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