Organization
TV DISCOUNT DRUG INC
Active
Other names
MARKS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE VAN HORN DPH (OWNER)
(405) 348-0220
Entity
Organization
Contact information
Practice address
112 W OKLAHOMA AVE, GUTHRIE, OK 73044-3130
(405) 282-2700
(405) 282-4715
Mailing address
112 W OKLAHOMA AVE, GUTHRIE, OK 73044-3130
(405) 282-2700
(405) 282-4715
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
323209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233220A
—
OK
01
—
2072797
PK
—
Enumeration date
02/07/2007
Last updated
02/12/2015
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