Organization
WESTVILLE DRUG COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DANIEL CARTER PHARMD (OWNER/CEO)
(918) 723-5466
Entity
Organization
Contact information
Practice address
301 S. WILLIAMS ST, WESTVILLE, OK 74965-7496
(918) 723-5466
(918) 723-4465
Mailing address
PO BOX 405, WESTVILLE, OK 74965-0405
(918) 723-5466
(918) 723-4465
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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