Organization
BLANCHARD DRUG & GIFT INC
Active
Other names
BLANCHARD DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STANDRIDGE (AUTHORIZED OFFICIAL)
(405) 485-2112
Entity
Organization
Contact information
Practice address
1203 N COUNCIL RD, BLANCHARD, OK 73010-8000
(405) 485-2112
(405) 485-8661
Mailing address
PO BOX 786, BLANCHARD, OK 73010-0786
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
473971
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2074132
PK
—
05
—
90003928140
—
OK
Enumeration date
07/14/2006
Last updated
09/17/2015
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