Organization
VAPORHERBS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY ROPER (OWNER)
(918) 289-8526
Entity
Organization
Contact information
Practice address
921 S MAIN ST, SAPULPA, OK 74066-5401
(918) 289-8526
Mailing address
921 S MAIN ST, SAPULPA, OK 74066-5401
(918) 289-8526
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DAAA-NYS4-HRGZ
MEDICAL DISPENSARY
OK
Enumeration date
09/09/2019
Last updated
09/09/2019
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