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Organization

OWASSO DRUG COMPANY LLC

Active
Other names
Owasso Drug
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN DEAN FLANARY (CO-OWNER)
(918) 272-2881
Entity
Organization

Contact information

Practice address
12724 E 86TH ST N, OWASSO, OK 74055-2548
(918) 272-2881
(918) 272-2883
Mailing address
12724 E 86TH ST N, OWASSO, OK 74055-2548
(918) 272-2881
(918) 272-2883

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
2-7287
OK
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200590750A
OK
01
2152362
PK
Enumeration date
06/02/2015
Last updated
03/13/2020
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