Organization
VMM, INC.
Active
Other names
Medicine Shoppe #0736
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VORNDRAN DPH (PHARMACIST-OWNER)
(405) 273-7360
Entity
Organization
Contact information
Practice address
1006 N HARRISON ST, SHAWNEE, OK 74801-6419
(405) 273-7360
(405) 273-4384
Mailing address
1006 N HARRISON ST, SHAWNEE, OK 74801-6419
(405) 273-7360
(405) 273-4384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102995
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239580 B
—
OK
01
—
3715921
NCPDP
OK
Enumeration date
03/01/2011
Last updated
03/01/2011
Update your record
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