Organization
COMANCHE RX INC
Active
Other names
Thompsons Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WOODY PHARMD. (OWNER)
(580) 439-8869
Entity
Organization
Contact information
Practice address
513 HILLERY RD, SUITE B, COMANCHE, OK 73529-1200
(580) 439-8869
(580) 439-2357
Mailing address
513 HILLERY RD, SUITE B, COMANCHE, OK 73529-1200
(580) 439-8869
(580) 439-2357
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13-6185
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238060A
—
OK
01
—
2139168
PK
—
Enumeration date
11/28/2006
Last updated
10/07/2019
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