Organization
MEDICAL CENTER PHARMACY OF DURANT INC
Active
Other names
ADVANCED CARE MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG W SEAY DPH (PRESIDENT)
(580) 924-7425
Entity
Organization
Contact information
Practice address
506 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-2727
(580) 371-2370
Mailing address
1026 RADIO RD, DURANT, OK 74701-2991
(580) 924-2626
(580) 924-5171
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
61-S-793
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234540D
—
OK
Enumeration date
05/28/2006
Last updated
02/28/2014
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