Organization
PHARMCAREOK OF HYDRO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARNEY KENT ABBOTT DPH (PRES CEO)
(405) 663-4111
Entity
Organization
Contact information
Practice address
510 ARAPAHO ST, HYDRO, OK 73048
(405) 663-4111
(405) 663-4114
Mailing address
PO BOX 70, HYDRO, OK 73048
(405) 663-4111
(405) 663-4114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
204601
OK
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247290A
—
OK
01
—
3723384
NCPDP
—
Enumeration date
07/03/2006
Last updated
01/03/2019
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