Organization
T V DISCOUNT DRUGS INC
Active
Other names
TV DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE VAN HORN DPH (OWNER)
(405) 348-0220
Entity
Organization
Contact information
Practice address
1701 E 2ND ST, EDMOND, OK 73034-6405
(405) 348-0220
(405) 348-0459
Mailing address
1701 E 2ND ST, EDMOND, OK 73034-6405
(405) 348-0220
(405) 348-0454
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13863
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233220B
—
OK
01
—
2073602
PK
—
Enumeration date
01/19/2007
Last updated
03/17/2015
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