Organization
PHYSICIAN DIRECT RETAIL PHARMACY, LLC
Active
Organization
PHYSICIAN DIRECT RETAIL PHARMACY, LLC
Active
Other names
pdr
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ORTON (MANAGING MEMBER)
(405) 206-1313
Entity
Organization
Contact information
Practice address
7725 W RENO AVE, OKLAHOMA CITY, OK 73127-9711
(405) 206-1313
(405) 376-6117
Mailing address
7725 W RENO AVE, OKLAHOMA CITY, OK 73127-9711
(405) 206-1313
(405) 376-6117
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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