Organization
SIMPSONS PRAGUE PHARMACY PLLC
Active
Other names
PRAGUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY SIMPSON D PH (OWNER)
(405) 567-4322
Entity
Organization
Contact information
Practice address
1020 W MAIN ST, PRAGUE, OK 74864-4501
(405) 567-4322
(405) 567-3303
Mailing address
1020 W MAIN ST, PRAGUE, OK 74864-4501
(405) 567-4322
(405) 567-3303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31-5953
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247240A
—
OK
01
—
2073230
PK
—
Enumeration date
07/22/2006
Last updated
02/12/2015
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