Organization
RALEY PRESCRIPTION PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE R. RALEY D.P.H. (PRESIDENT)
(918) 266-2283
Entity
Organization
Contact information
Practice address
19320 E ADMIRAL PL, CATOOSA, OK 74015-3207
(918) 266-2283
(918) 266-4746
Mailing address
19320 E ADMIRAL PL, P.O. BOX 1740, CATOOSA, OK 74015-3207
(918) 266-2283
(918) 266-4746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8766
OK
Other
Enumeration date
09/12/2005
Last updated
08/22/2020
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