Organization
HARRAH PHARMACY INC.
Active
Other names
Harrah Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA CASEY PHARMD (PRESIDENT)
(405) 454-2476
Entity
Organization
Contact information
Practice address
2060 N CHURCH, HARRAH, OK 73045-0247
(405) 454-2476
(405) 454-3507
Mailing address
PO BOX 247, HARRAH, OK 73045-0247
(405) 454-2476
(405) 454-3507
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
13198
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240390A
—
OK
01
—
2074286
PK
—
Enumeration date
12/05/2006
Last updated
06/04/2019
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