Organization
SPOON DRUGS INC
Active
Other names
SPOON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EARL OSBORN (SEC/TREAS)
(918) 542-4444
Entity
Organization
Contact information
Practice address
3801 S STATE HIGHWAY 97, SAND SPRINGS, OK 74063-6660
(918) 245-7373
(918) 245-7374
Mailing address
3801 S STATE HIGHWAY 97, SAND SPRINGS, OK 74063-6660
(918) 245-7373
(918) 245-7374
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25290
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2077198
PK
—
Enumeration date
04/07/2008
Last updated
03/10/2025
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