Organization
SAPULPA DRIVE IN PHARMACY
Active
Other names
SAPULPA DRIVE IN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN COOK D PH (PHARMACIST MANAGER)
(918) 224-6558
Entity
Organization
Contact information
Practice address
1029 E CLEVELAND AVE, SAPULPA, OK 74066-4516
(918) 224-6558
(918) 227-0595
Mailing address
1029 E CLEVELAND AVE, SAPULPA, OK 74066-4516
(918) 224-6558
(918) 227-0595
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11-1084
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234640A
—
OK
01
—
2072609
PK
—
05
—
90003909892
—
OK
Enumeration date
08/30/2006
Last updated
12/01/2016
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