Organization
THRIFTY PHARMACY III
Active
Other names
THRIFTY PHARMACY EDMOND
Organization subpart
No
Provider details
NPI number
Authorized official
DANI LYNCH COLSTON DPH (PRES)
(405) 751-2852
Entity
Organization
Contact information
Practice address
230 S SANTA FE AVE, EDMOND, OK 73003-4766
(405) 715-4405
(405) 715-4407
Mailing address
230 S SANTA FE AVE, EDMOND, OK 73003-4766
(405) 715-4405
(405) 715-4407
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-5822
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246170A
—
OK
01
—
2076221
PK
—
Enumeration date
03/08/2007
Last updated
12/18/2016
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