Organization
MEDX CORPORATION
Active
Other names
DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE STROM (RETAIL SUPPORT)
(501) 296-3312
Entity
Organization
Contact information
Practice address
12919 E 31ST ST, TULSA, OK 74134-3208
(918) 622-3232
(918) 621-4320
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24105
OK
333600000X
Pharmacy
24105
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3720910
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/25/2006
Last updated
11/15/2007
About Stedi
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