Organization
GUYMON CLINIC PHARMACY LLC
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHET OBLANDER (PARTNER)
(580) 338-3339
Entity
Organization
Contact information
Practice address
1210 N LELIA ST, GUYMON, OK 73942-3647
(580) 338-3339
(580) 338-1010
Mailing address
PO BOX 1590, GUYMON, OK 73942-1590
(580) 338-3339
(580) 338-1010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
435014
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241140A
—
OK
01
—
2081576
PK
—
Enumeration date
11/03/2006
Last updated
08/22/2024
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