Organization
NOLEN V WILLIAMS
Active
Other names
ROBERTS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOLLEY (MGR)
(405) 257-3388
Entity
Organization
Contact information
Practice address
309 S WEWOKA AVE, WEWOKA, OK 74884-2641
(405) 257-3388
(405) 257-6508
Mailing address
PO BOX 728, WEWOKA, OK 74884-0728
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
24655
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3708724
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
09/11/2025
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