Organization
MULDROW PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA JOY SELF DPH (PHARMACIST)
(918) 427-3243
Entity
Organization
Contact information
Practice address
710 E SHAWNTEL SMITH BLVD, MULDROW, OK 74948-1109
(918) 427-3243
(918) 427-6678
Mailing address
PO BOX 1109, 710 E SHAWNTEL SMITH BLVD., MULDROW, OK 74948-1109
(918) 427-3243
(918) 427-6678
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
34-5051
OK
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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