Organization
H & G DISCOUNT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WAYNE HARRIS (MANAGER)
(918) 333-4848
Entity
Organization
Contact information
Practice address
112 NE WASHINGTON BLVD, BARTLESVILLE, OK 74006-1650
(918) 333-4848
(918) 333-8948
Mailing address
112 NE WASHINGTON BLVD, BARTLESVILLE, OK 74006-1634
(918) 333-4848
(918) 333-8948
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100812150A
—
OK
Enumeration date
09/22/2006
Last updated
12/20/2011
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