Organization
SHERRILLS CORPORATION
Active
Other names
SHERILLS PHARMACY AND GIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HAMMONDS DPH (OWNER)
(580) 584-3353
Entity
Organization
Contact information
Practice address
101 MAIN ST, BROKEN BOW, OK 74728-3973
(580) 584-3353
(580) 584-9459
Mailing address
101 MAIN ST, BROKEN BOW, OK 74728-3973
(580) 584-3353
(580) 584-9459
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
255075
OK
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200076970A
—
OK
01
—
2072694
PK
—
Enumeration date
07/22/2006
Last updated
04/11/2023
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