Organization
JOY M. BERNHARDT DBA HERITAGE HILLS DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY BERNHARDT (MANAGER)
(580) 564-2227
Entity
Organization
Contact information
Practice address
709 HIGHWAY 70 EAST, STE. B, KINGSTON, OK 73439-0282
(580) 564-2227
(580) 564-4844
Mailing address
PO BOX 310, 709 HIGHWAY 70 EAST, STE. B, KINGSTON, OK 73439-0310
(580) 564-2227
(580) 564-4844
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237280B
—
OK
Enumeration date
10/23/2006
Last updated
06/26/2008
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