Organization
SEQUOYAH COUNTY DRUG COMPANY PLLC
Active
Other names
Warner Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA J SELF DPH (PRESIDENT)
(918) 571-8813
Entity
Organization
Contact information
Practice address
806 CAMPBELL RD STE B, WARNER, OK 74469-5008
(918) 463-5444
Mailing address
PO BOX 1130, WARNER, OK 74469-1130
(918) 463-5444
(918) 774-0890
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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