Organization
THOMAS DRUG INC
Active
Other names
Thomas Drug & Variety Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KOURT DPH (PIC/OWNER)
(580) 661-3545
Entity
Organization
Contact information
Practice address
145 W BROADWAY AVE, THOMAS, OK 73669-8266
(580) 661-3545
(580) 661-3540
Mailing address
PO BOX 347, THOMAS, OK 73669-0347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
282759
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235160A
—
OK
01
—
2073270
PK
—
Enumeration date
11/02/2006
Last updated
12/13/2016
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