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Organization

HENRY ROBERTS EXPRESS PHARMACY LLC

Active
Parent organization
HENRY ROBERTS EXPRESS PHARMACY LLC
Other names
Express Pharmacy Vital Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENRY ROBERTS EXPRESS PHARMACY LLC
Authorized official
HENRY ROBERTS (OWNER)
(580) 226-2684
Entity
Organization

Contact information

Practice address
1306 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 226-2684
(580) 226-3902
Mailing address
1306 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 226-2684
(580) 226-3902

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
12-4184
OK
3336C0003X
Community/Retail Pharmacy
12-4184
OK
3336H0001X
Home Infusion Therapy Pharmacy
12-4184
OK

Other

Enumeration date
12/18/2008
Last updated
12/18/2008
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