Organization
WILLIAMS PHARMACY INC
Active
Other names
WILLIAMS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK MCGOWEN (PHARMACIST)
(405) 527-5682
Entity
Organization
Contact information
Practice address
700 E BROADWAY ST, LEXINGTON, OK 73051-9067
(405) 527-5682
(405) 527-5683
Mailing address
700 E BROADWAY ST, LEXINGTON, OK 73051-9067
(405) 527-5682
(405) 527-5683
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7-5222
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235140A
—
OK
01
—
2073468
PK
—
Enumeration date
11/01/2006
Last updated
12/16/2016
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