Organization
MERCY HOSPITAL ARDMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GLENN PHARMD (DIRECTOR OF PHARMACY)
(580) 220-6226
Entity
Organization
Contact information
Practice address
23223 RIGSBY RD, MADILL, OK 73446-2327
(405) 205-9301
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6226
(580) 220-6110
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
14328
OK
3336C0003X
Community/Retail Pharmacy
14328
OK
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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