Organization
OKEMAH PHARMACY INC.
Active
Other names
Henryetta Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMER ALLEN FRECH R.PH. (PHARMACIST/OWNER)
(918) 652-3361
Entity
Organization
Contact information
Practice address
623 W MAIN ST, HENRYETTA, OK 74437-4245
(918) 652-3361
(918) 652-9554
Mailing address
623 W MAIN ST, HENRYETTA, OK 74437-4245
(918) 652-3361
(918) 652-9554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
14-5411
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234550D
—
OK
Enumeration date
07/08/2005
Last updated
10/21/2014
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