Organization
CUSHING FAMILY PHARMACY INC
Active
Other names
Cushing Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS (PRESIDENT)
(405) 742-8099
Entity
Organization
Contact information
Practice address
200 S HIGHLAND AVE, CUSHING, OK 74023-4117
(918) 225-5200
(918) 225-0828
Mailing address
200 S HIGHLAND AVE, CUSHING, OK 74023-4117
(918) 225-5200
(918) 225-0828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8-7679
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200663180A
—
OK
Enumeration date
07/25/2016
Last updated
10/29/2019
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