Organization
ELGIN DISCOUNT PHARMACY INC
Active
Other names
ELGIN DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEEVERS (OWNER AND PRESIDENT MNGR)
(580) 492-5007
Entity
Organization
Contact information
Practice address
7523 US HIGHWAY 277, ELGIN, OK 73538-2161
(580) 492-5007
(580) 492-5090
Mailing address
7523 US HIGHWAY 277, ELGIN, OK 73538-2161
(580) 492-5007
(580) 492-5090
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
35152
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237460A
—
OK
01
—
2073849
PK
—
Enumeration date
07/29/2006
Last updated
06/08/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up