Organization
KRITTENBRINK PHARMACY LLC
Active
Other names
Krittenbrink Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DAWN SCHIEBER PHARMACIST (PHARMACIST IN CHARGE)
(405) 263-4433
Entity
Organization
Contact information
Practice address
315 KANSAS AVE, OKARCHE, OK 73762-0405
(405) 263-4433
(405) 263-4535
Mailing address
PO BOX 405, OKARCHE, OK 73762-0405
(405) 263-4433
(405) 263-4535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54-6877
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200564340A
—
OK
01
—
2148920
PK
—
Enumeration date
11/19/2014
Last updated
08/12/2021
Update your record
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