Organization
LONE GROVE DRUG
Active
Other names
LONE GROVE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DELANO RPH (OWNER AND PHARMACIST)
(580) 657-3555
Entity
Organization
Contact information
Practice address
16662 US HWY 70, LONE GROVE, OK 73443-1019
(580) 657-3555
(580) 657-8259
Mailing address
PO BOX 1019, LONE GROVE, OK 73443-1019
(580) 657-3555
(580) 657-8259
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
123540
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236030A
—
OK
01
—
3712470
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/03/2007
Last updated
11/05/2010
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