Organization
CLIFS PHARMACY LLC
Active
Other names
CLIFS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MEECE (OWNER)
(918) 776-0100
Entity
Organization
Contact information
Practice address
505 E REDWOOD AVE, SALLISAW, OK 74955-3020
(918) 776-0100
(918) 775-4749
Mailing address
PO BOX 1700, SALLISAW, OK 74955-1700
(918) 776-0100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
344186
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244880A
—
OK
01
—
2076064
PK
—
Enumeration date
07/26/2005
Last updated
08/23/2020
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