Organization
MAYS DRUG STORES IN
Active
Other names
KENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE STROM (RETAIL SUPPORT)
(501) 296-3312
Entity
Organization
Contact information
Practice address
3319 W 45TH ST, TULSA, OK 74107-6402
(918) 445-2677
(918) 445-2677
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
25077
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3717898
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
90003924354
—
OK
Enumeration date
10/25/2006
Last updated
11/19/2007
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