Organization
PIEDMONT RX INC
Active
Other names
Piedmont Pharmacy and Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SMITH (OWNER/MANAGER)
(405) 373-3090
Entity
Organization
Contact information
Practice address
97 GOODER SIMPSON BLVD, PIEDMONT, OK 73078-9215
(405) 373-3090
(405) 373-1748
Mailing address
97 GOODER SIMPSON BLVD, PIEDMONT, OK 73078-9215
(405) 373-3090
(405) 373-1748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26-8142
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200230700A
—
OK
01
—
2118895
PK
—
Enumeration date
02/04/2009
Last updated
07/19/2021
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