Organization
LEEDEY DRUG INC
Active
Other names
LEEDEY DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PIERCE DPH (DPH)
(580) 488-3393
Entity
Organization
Contact information
Practice address
421 S MAIN, LEEDEY, OK 73654-0296
(580) 488-3393
(580) 488-2159
Mailing address
PO BOX 296, LEEDEY, OK 73654-0296
(580) 488-3393
(580) 488-2159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
70-430
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233150A
—
OK
01
—
2072946
PK
—
Enumeration date
12/27/2006
Last updated
03/01/2017
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