Organization
OLIVERS EXPRESS PHARMACY LLC
Active
Parent organization
OLIVER'S EXPRESS PHARMACY
Other names
Oliver's Express Pharmacy and Hearing Aid Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLIVER'S EXPRESS PHARMACY
Authorized official
OLIVER GARY LACKEY PHARMD (OWNER)
(580) 227-4000
Entity
Organization
Contact information
Practice address
624 N MAIN ST, FAIRVIEW, OK 73737-1216
(580) 227-4000
Mailing address
624 N MAIN ST, FAIRVIEW, OK 73737-1216
(580) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225
HEARING AID DEALER AND FITTER
OK
Enumeration date
06/14/2019
Last updated
06/14/2019
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