Organization
GWA INC
Active
Other names
SALISBURY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ADAMS DPH (OWNER)
(580) 323-1244
Entity
Organization
Contact information
Practice address
815 FRISCO AVE, CLINTON, OK 73601-3322
(580) 323-1244
(580) 323-0455
Mailing address
815 FRISCO AVE, CLINTON, OK 73601-3322
(580) 323-1244
(580) 323-0455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28-5048
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233740A
—
OK
05
—
100233740B
—
OK
01
—
2072709
PK
—
Enumeration date
12/29/2006
Last updated
07/16/2015
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