Organization
FREDERICK PHARMACY INC
Active
Other names
Health Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE KELLY DPH (SECRETARY)
(580) 335-5501
Entity
Organization
Contact information
Practice address
219 E JOSEPHINE AVE, FREDERICK, OK 73542-2017
(580) 335-7575
(580) 335-7577
Mailing address
PO BOX 981, FREDERICK, OK 73542-0981
(580) 335-5501
(580) 335-7253
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
42-8026
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008420A
—
OK
Enumeration date
09/15/2017
Last updated
09/19/2025
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