Organization
WYANDOTTE PHARMACY, LLC
Active
Other names
Buffalo Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RITTER (OWNER)
(580) 889-0230
Entity
Organization
Contact information
Practice address
622 E WYANDOTTE AVE, MCALESTER, OK 74501-5426
(918) 426-5223
(918) 426-3630
Mailing address
744 S MISSISSIPPI AVE STE A, ATOKA, OK 74525-3356
(580) 889-0230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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