Organization
BAYLESS DRUG INC
Active
Other names
BAYLESS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JUSTICE (AUTHORIZED AGENT)
(405) 447-3911
Entity
Organization
Contact information
Practice address
120 W MAIN, STRATFORD, OK 74872-0150
(580) 759-2312
(580) 759-3233
Mailing address
PO BOX 150, STRATFORD, OK 74872-0150
(580) 759-2312
(580) 759-3233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
223221
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232080A
—
OK
01
—
2073262
PK
—
Enumeration date
11/13/2006
Last updated
02/05/2021
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