Organization
BIVENS DRUG INC
Active
Other names
BIVENS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DENNIS (PRESIDENT)
(580) 922-4812
Entity
Organization
Contact information
Practice address
217 N MAIN, SEILING, OK 73663-0426
(580) 922-4812
(580) 922-4900
Mailing address
PO BOX 426, SEILING, OK 73663-0426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
705920
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2073248
PK
—
Enumeration date
11/09/2006
Last updated
08/24/2015
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