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Organization

FOSTER CORNER DRUG INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TROY SIMONS (OWNER AND PHARMACIST)
(580) 336-2136
Entity
Organization

Contact information

Practice address
328 N 6TH ST, PERRY, OK 73077-6607
(580) 336-2136
(580) 336-9445
Mailing address
328 N 6TH ST, PERRY, OK 73077-6607

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56-1529
OK

Other

Enumeration date
04/30/2007
Last updated
08/22/2020
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