Organization
MCLOUD PHARMACY INC
Active
Other names
McLoud Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EARL OSBORN (VP)
(918) 542-4444
Entity
Organization
Contact information
Practice address
704 S 8TH ST, STE B, MCLOUD, OK 74851-8633
(405) 964-3956
(405) 964-3959
Mailing address
704 S 8TH ST, STE B, MCLOUD, OK 74851-8633
(405) 964-3956
(405) 964-3959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
10-7799
OK
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200695020A
—
OK
05
—
200695020B
—
OK
01
—
2167460
PK
—
Enumeration date
02/20/2017
Last updated
05/22/2025
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