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Organization

CITYRX LLC

Active
Other names
CITY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ZACHARY BRACK (OWNER)
(580) 623-4545
Entity
Organization

Contact information

Practice address
101 N CLARENCE NASH BLVD, WATONGA, OK 73772-4250
(580) 623-4545
(580) 623-4549
Mailing address
101 N CLARENCE NASH BLVD, WATONGA, OK 73772-4250
(580) 623-4545

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100241610A
OK
01
2073332
PK
Enumeration date
09/30/2006
Last updated
09/02/2025
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