Organization
ECK DRUG & GIFT INC
Active
Other names
ECK DRUG AND GIFT
Organization subpart
No
Provider details
NPI number
Authorized official
DANA ECK (DPH/PRES)
(580) 228-2383
Entity
Organization
Contact information
Practice address
101 S MAIN ST, WAURIKA, OK 73573-3053
(580) 228-2383
(580) 228-3290
Mailing address
101 S MAIN ST, WAURIKA, OK 73573-3053
(580) 228-2383
(580) 228-3290
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
63-2970
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239420A
—
OK
01
—
2073335
PK
—
Enumeration date
09/30/2006
Last updated
12/09/2016
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