Organization
MULDROW PHARMACY INC.
Active
Other names
Muldrow Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA J SELF DPH (PHARMACIST)
(918) 427-3243
Entity
Organization
Contact information
Practice address
710 E SHAWNTEL SMITH BLVD, MULDROW, OK 74948
(918) 427-3243
(918) 427-6678
Mailing address
PO BOX 1109, MULDROW, OK 74948-1109
(918) 427-3243
(918) 427-6678
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
34-5160
OK
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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