Organization
TIGER DRUG COMPANY LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS (PRESIDENT)
(405) 742-8099
Entity
Organization
Contact information
Practice address
825 S WALNUT ST, STILLWATER, OK 74074-4226
(918) 510-0648
Mailing address
825 S WALNUT ST, STILLWATER, OK 74074-4226
(918) 510-0648
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8-6744
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
04/26/2022
Last updated
11/18/2022
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