Organization
GUTHRIE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOUGLAS LASSITER D.PH. (OWNER)
(405) 677-0549
Entity
Organization
Contact information
Practice address
102 W NOBLE AVE, GUTHRIE, OK 73044-3123
(405) 282-7800
(405) 282-2244
Mailing address
102 W NOBLE AVE, GUTHRIE, OK 73044-3123
(405) 282-7800
(405) 282-2244
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
32-5603
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200321850A
—
OK
01
—
2128912
PK
—
Enumeration date
01/03/2011
Last updated
10/26/2017
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