Organization
GLN OF ADA DOLLAR SAVER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL MURRAY DPH (PHARMACIST IN CHARGE)
(580) 436-0900
Entity
Organization
Contact information
Practice address
1601 N BROADWAY AVE, ADA, OK 74820-1403
(580) 436-0900
(580) 332-2541
Mailing address
1601 N BROADWAY AVE, ADA, OK 74820-1403
(580) 436-0900
(580) 332-2541
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
23-4374
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242820A
—
OK
01
—
3719296
NCPDP NUMBER
OK
Enumeration date
12/28/2005
Last updated
06/17/2008
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