Organization
S AND H FAMILY PHARMACY SERVICES INCORPORATED
Active
Other names
S & H Family Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SELF (PRESIDENT)
(918) 571-8813
Entity
Organization
Contact information
Practice address
710 E SHAWNTEL SMITH BLVD STE D, MULDROW, OK 74948-4831
(918) 427-6060
(918) 427-6097
Mailing address
710 E SHAWNTEL SMITH BLVD, SUITE D, MULDROW, OK 74948-4830
(918) 427-6060
(918) 427-6097
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
345733
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3726633
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/04/2011
Last updated
01/12/2012
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