Organization
SWIPHT PHARMACY INC
Active
Other names
Med-World Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS (PRESIDENT)
(405) 742-8099
Entity
Organization
Contact information
Practice address
14 S MISSION ST, SAPULPA, OK 74066-4634
(918) 227-2010
Mailing address
PO BOX 1025, SAPULPA, OK 74067-1025
(405) 337-2907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11-5825
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200406140A
—
OK
05
—
200406140B
—
OK
01
—
2132604
PK
—
Enumeration date
12/02/2011
Last updated
11/10/2016
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