Organization
CHARLIES DISCOUNT DRUG INC
Active
Other names
CHARLIES DISCOUNT DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBI HERNANDEZ (PRES)
(405) 624-3535
Entity
Organization
Contact information
Practice address
723 S WALNUT ST, STILLWATER, OK 74074-4224
(405) 624-3535
(405) 624-3536
Mailing address
723 S WALNUT ST, STILLWATER, OK 74074-4224
(405) 624-3535
(405) 624-3536
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8-2209
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235860A
—
OK
01
—
2073667
PK
—
Enumeration date
09/30/2006
Last updated
07/22/2016
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