Organization
TABORS DRUG INC
Active
Other names
TABORS DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
KALYN TABOR (OWNER)
(705) 756-4511
Entity
Organization
Contact information
Practice address
225 S MAIN ST, LINDSAY, OK 73052-5633
(405) 756-4511
(405) 756-2861
Mailing address
225 S MAIN ST, LINDSAY, OK 73052-5633
(405) 756-4511
(405) 756-2861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22-871
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234080A
—
OK
01
—
2072949
PK
—
Enumeration date
09/30/2006
Last updated
08/23/2021
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