Organization
412 FAMILY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANDREW TURNER (OWNER)
(918) 543-8777
Entity
Organization
Contact information
Practice address
412 E MAIN ST, LOCUST GROVE, OK 74352-5117
(918) 479-5223
(918) 479-6510
Mailing address
PO BOX 700, INOLA, OK 74036-0700
(918) 543-8777
(918) 543-2013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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