Organization
HOLDER-SOUTHERN DRUG COMPANY INC
Active
Other names
Holder Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TODD HOLDER (PRESIDENT)
(580) 327-3332
Entity
Organization
Contact information
Practice address
513 BARNES AVE, ALVA, OK 73717
(580) 327-3332
(580) 327-1848
Mailing address
513 BARNES AVE, ALVA, OK 73717-2229
(580) 327-3332
(580) 327-1848
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50-2293
OK
3336L0003X
Long Term Care Pharmacy
50-2293
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002372301A
—
OK
05
—
1002372301B
—
OK
Enumeration date
10/13/2006
Last updated
09/21/2020
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