Organization
TOTALDOSE CHICKASHA LLC
Active
Other names
GRAND CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GEORGE PHARMD, PHD (CO-OWNER/MANAGER)
(580) 284-7896
Entity
Organization
Contact information
Practice address
2103 W IOWA AVE, CHICKASHA, OK 73018-2737
(405) 222-2273
(405) 222-2546
Mailing address
14101 N EASTERN AVE STE A, EDMOND, OK 73013-5860
(580) 284-7896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247460A
—
OK
05
—
100247460B
—
OK
01
—
2076449
PK
—
Enumeration date
10/19/2006
Last updated
10/09/2024
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