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Organization

C & B PHARMACY INC

Active
Other names
Hospital Discount Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON MARTIN (PHARMACIST)
(405) 348-1677
Entity
Organization

Contact information

Practice address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1677
(405) 359-9040
Mailing address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1677
(405) 359-9040

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
1-1634
OK
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100234960A
OK
01
2072541
PK
Enumeration date
02/02/2007
Last updated
01/29/2021
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