Organization
APOTHECARY ASSOCIATES LLC
Active
Other names
Roof Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNA K. ROOF D.PH. (PHARMACY OWNER/MANAGER)
(580) 302-6500
Entity
Organization
Contact information
Practice address
1315 N WASHINGTON ST STE 3, WEATHERFORD, OK 73096-2443
(580) 302-6500
(580) 302-6501
Mailing address
PO BOX 2090, WEATHERFORD, OK 73096-8090
(580) 302-6500
(580) 302-6501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200886010A
—
OK
01
—
28-8578
OKLAHOMA STATE BOARD OF PHARMACY
OK
01
—
71705
OKLAHOMA BUREAU OF NARCOTICS AND DANGEROUS DRUGS
OK
Enumeration date
11/21/2019
Last updated
01/31/2020
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