Organization
BOLTON DRUG & JEWELRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BOLTON (PRESIDENT)
(580) 933-4214
Entity
Organization
Contact information
Practice address
#3 N DALTON, VALLIANT, OK 74764
(580) 933-4214
(580) 933-7605
Mailing address
#3 N DALTON, VALLIANT, OK 74764
(580) 933-4214
(580) 933-7605
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
251756
OK
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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