Organization
CAMP PHARMACY LLC
Active
Other names
CAMP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ROGERS (OWNER PHARMACIST)
(580) 856-3333
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA, RATLIFF CITY, OK 73481
(580) 856-3333
(580) 856-3607
Mailing address
PO BOX 117, RATLIFF CITY, OK 73481-0117
(580) 856-3333
(580) 856-3607
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
125726
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237550A
—
OK
01
—
2073854
PK
—
Enumeration date
10/26/2006
Last updated
07/22/2016
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