Organization
ONESOURCE LLC
Active
Other names
OneSource
Organization subpart
No
Provider details
NPI number
Authorized official
TONY HUDGINS (PRESIDENT)
(580) 279-6001
Entity
Organization
Contact information
Practice address
213 E MAIN ST STE 100, CALERA, OK 74730-2102
(580) 279-6001
(580) 434-6250
Mailing address
31 LIBERTY ST, CALERA, OK 74730-5519
(580) 302-2322
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27-7897
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200447310A
—
OK
01
—
2136329
PK
—
Enumeration date
08/03/2012
Last updated
07/21/2022
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