Organization
MILLER-MCCLUNG INC.
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LOUISE MCCLUNG D.PH., C.PED (PHARMACIST/OWNER)
(580) 248-7360
Entity
Organization
Contact information
Practice address
12 NW SHERIDAN RD, LAWTON, OK 73505-6304
(580) 248-7360
(580) 248-7589
Mailing address
12 NW SHERIDAN RD, LAWTON, OK 73505-6304
(580) 248-7360
(580) 248-7589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3-5223
OK
3336C0003X
Community/Retail Pharmacy
Primary
3-5223
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3721518
NCPDP #
OK
Enumeration date
06/21/2006
Last updated
03/07/2023
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