Organization
PAWNEE DRUG, L.L.C.
Active
Other names
Pawnee Drug
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN LONG (PHARMACIST)
(405) 208-1896
Entity
Organization
Contact information
Practice address
553 HARRISON ST, PAWNEE, OK 74058-2566
(918) 762-2148
(918) 762-3717
Mailing address
553 HARRISON ST, PAWNEE, OK 74058-2566
(918) 762-2148
(918) 762-3717
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
522623
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3726823
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/20/2012
Last updated
03/20/2012
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