Organization
YALE DRUG INC
Active
Other names
YALE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS (OWNER)
(918) 387-4183
Entity
Organization
Contact information
Practice address
121 N MAIN ST, YALE, OK 74085-2507
(918) 387-4183
(918) 387-3200
Mailing address
121 N MAIN ST, YALE, OK 74085-2507
(918) 387-4183
(918) 387-3200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8-3618
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237480A
—
OK
01
—
2073853
PK
—
Enumeration date
07/18/2006
Last updated
12/20/2016
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