Organization
BLANCHARD DRUG & GIFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA RENEA STANDRIDGE PHARM D (OWNER)
(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
(405) 485-2112
(405) 485-8661
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
47-3971
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3715781
NCPDP
OK
01
—
47-3971
LICENSE NUMBER
OK
Enumeration date
03/21/2007
Last updated
03/07/2023
Update your record
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