Organization
WOODWARD PHARMACY MANAGEMENT, PC
Active
Other names
Medic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S HUENERGARDT DPH (OWNER/CEO)
(580) 254-3504
Entity
Organization
Contact information
Practice address
2116 OKLAHOMA AVE, WOODWARD, OK 73801-4258
(580) 254-3504
(580) 256-6359
Mailing address
2116 OKLAHOMA AVE, WOODWARD, OK 73801-4258
(580) 254-3504
(580) 256-6359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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