Organization
CORNER DRUG OF DURANT INC
Active
Other names
CORNER DRUG OF DURANT
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK NORTHCUTT (OWNER AND CHIEF PHARMACIST)
(580) 924-4444
Entity
Organization
Contact information
Practice address
1005 W MAIN ST, DURANT, OK 74701-5038
(580) 924-4444
(580) 924-0018
Mailing address
1005 W MAIN ST, DURANT, OK 74701-5038
(580) 924-4444
(580) 924-0018
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
271448
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244720A
—
OK
05
—
100244720B
—
OK
01
—
2072725
PK
—
Enumeration date
09/30/2006
Last updated
05/28/2015
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