Organization
DENNIS TRENT MOSER
Active
Other names
TRENTS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
D TRENT MOSER (OWNER PHARMACIST)
(580) 549-6115
Entity
Organization
Contact information
Practice address
428 E COLE, FLETCHER, OK 73541
(580) 549-6115
(580) 549-6558
Mailing address
PO BOX 600, FLETCHER, OK 73541-0600
(580) 549-6115
(580) 549-6558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3-3215
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235920A
—
OK
01
—
3712343
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/03/2007
Last updated
02/08/2011
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