Organization
DC 2008 INC
Active
Other names
DON COODY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SHEFFIELD (OWNER)
(405) 789-8921
Entity
Organization
Contact information
Practice address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 789-8921
(405) 789-8960
Mailing address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 789-8921
(405) 789-8960
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17593
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200207950A
—
OK
01
—
2073583
PK
—
Enumeration date
12/29/2006
Last updated
05/27/2016
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