Organization
KRISTI SUE PRESLEY
Active
Other names
THE APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI PIOWATY RPH (OWNER AND PHARMACIST)
(918) 827-6301
Entity
Organization
Contact information
Practice address
1419 COMMERCIAL AVE, MOUNDS, OK 74047
(918) 827-6301
(918) 827-6296
Mailing address
PO BOX 32, MOUNDS, OK 74047-0032
(918) 827-6301
(918) 827-6296
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11-5102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243110A
—
OK
05
—
100243110B
—
OK
01
—
2074765
PK
—
Enumeration date
02/06/2008
Last updated
04/21/2015
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