Organization
SHEFFIELDS PRAGUE PHARMACY LLC
Active
Other names
Prague Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SHEFFIELD (OWNER/PIC)
(405) 567-4322
Entity
Organization
Contact information
Practice address
1020 W MAIN ST, PRAGUE, OK 74864-4501
(405) 567-4322
(405) 567-3303
Mailing address
1020 W MAIN ST, PRAGUE, OK 74864-4501
(405) 567-4322
(405) 567-3303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31-7434
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200615030A
—
OK
05
—
200615030B
—
OK
01
—
2154659
PK
—
Enumeration date
10/15/2015
Last updated
11/10/2021
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