Organization
JOHN HARDY FAMILY ENTERPRISES LLC
Active
Other names
WOODS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARDY (OWNER/DPH)
(918) 423-4333
Entity
Organization
Contact information
Practice address
200A S 3RD STREET, MCALESTER, OK 74501-5447
(918) 423-4333
(918) 429-0498
Mailing address
200A S 3RD STREET, MCALESTER, OK 74501-5447
(918) 423-4333
(918) 429-0498
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15-6182
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243470A
—
OK
05
—
100243470B
—
OK
01
—
2072960
PK
—
Enumeration date
09/30/2006
Last updated
04/27/2020
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