Organization
SIMPSON PHARMACY, PLLC
Active
Other names
Simpson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON RAY SIMPSON RPH (PHARMACIST/PIC/OWNER)
(580) 584-2850
Entity
Organization
Contact information
Practice address
802 N PARK DR, BROKEN BOW, OK 74728-2146
(580) 584-2850
(580) 584-2820
Mailing address
802 N PARK DR, BROKEN BOW, OK 74728-2146
(580) 584-2850
(580) 584-2820
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25-5106
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200082880A
—
OK
01
—
2077059
PK
—
Enumeration date
04/25/2006
Last updated
01/27/2021
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