Organization
CHRIS ISBELL PHARMACY LLC
Active
Other names
Johnny's Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ISBELL (OWNER)
(918) 427-0400
Entity
Organization
Contact information
Practice address
303 E RAY FINE BLVD STE 1, ROLAND, OK 74954-5360
(918) 427-0400
(918) 427-0401
Mailing address
PO BOX 408, ROLAND, OK 74954-0408
(918) 427-0400
(918) 427-0401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
347856
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200699000A
—
OK
05
—
220467407
—
AR
Enumeration date
02/27/2017
Last updated
09/22/2023
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