Organization
D & D PHARMACY INCORPORATED
Active
Other names
D & D Pharmacy, D AND D PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG HORNE (OWNER)
(918) 647-3137
Entity
Organization
Contact information
Practice address
1940 N BROADWAY ST, POTEAU, OK 74953-2638
(918) 647-3137
(918) 647-2977
Mailing address
PO BOX 592, POTEAU, OK 74953-0592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234490A
—
OK
05
—
100234490B
—
OK
01
—
2073454
PK
—
Enumeration date
10/17/2006
Last updated
10/18/2021
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