Organization
PARENTS INVESTMENT CORPORATION
Active
Other names
Bratton Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TERRY (OWNER)
(580) 782-2195
Entity
Organization
Contact information
Practice address
109 S OKLAHOMA AVE, MANGUM, OK 73554-4219
(580) 782-2195
(580) 782-3485
Mailing address
109 S OKLAHOMA AVE, MANGUM, OK 73554-4219
(580) 782-2195
(580) 782-3485
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60-7375
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200609980A
—
OK
01
—
2153943
PK
—
Enumeration date
07/10/2015
Last updated
10/24/2016
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