Organization
GLN INC OF DURANT
Active
Other names
NICHOLS DOLLAR SAVER
Organization subpart
No
Provider details
NPI number
Authorized official
GARY NICHOLS (PRES/OWNER)
(580) 924-2903
Entity
Organization
Contact information
Practice address
1231 N WASHINGTON AVE, DURANT, OK 74701-2119
(580) 924-2903
(580) 924-7337
Mailing address
PO BOX 426, #3, CHECOTAH, OK 74426-0426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
274660
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243870A
—
OK
01
—
2074870
PK
—
Enumeration date
12/28/2005
Last updated
11/18/2014
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