Organization
BINTZ PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT BINTZ (OWNER/PRESIDENT)
(580) 765-3055
Entity
Organization
Contact information
Practice address
2701 N 14TH ST, PONCA CITY, OK 74601-1738
(580) 765-3055
(580) 765-3410
Mailing address
2701 N 14TH ST, PONCA CITY, OK 74601-1738
(580) 765-3055
(580) 765-3410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6-5771
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233080A
—
OK
05
—
100233080C
—
OK
01
—
2127193
PK
—
Enumeration date
04/18/2006
Last updated
08/10/2020
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