Organization
CHANDLER-HEWITT DRUG INC
Active
Other names
CHANDLER HEWITT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
REX CHANDLER (CEO)
(580) 286-3474
Entity
Organization
Contact information
Practice address
121 MAIN ST, BROKEN BOW, OK 74728-3973
(580) 584-3378
(580) 584-6625
Mailing address
121 MAIN ST, BROKEN BOW, OK 74728-3973
(580) 584-3378
(580) 584-6625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
252723
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2072693
PK
—
05
—
90003901162
—
OK
Enumeration date
11/03/2006
Last updated
07/02/2014
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