Organization
SOONER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RAY PITTMAN PHARM D, PHD (OWNER/PHARMACIST)
(580) 622-2208
Entity
Organization
Contact information
Practice address
815 W BROADWAY AVE, SULPHUR, OK 73086-4611
(580) 622-2208
(580) 622-2200
Mailing address
815 W BROADWAY AVE, SULPHUR, OK 73086-4611
(580) 622-2208
(580) 622-2200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
55-3551
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3703128
NCPDP
—
Enumeration date
08/26/2005
Last updated
08/22/2020
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