Organization
RAZOOK'S DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA HLADIK (MANAGER)
(405) 377-4445
Entity
Organization
Contact information
Practice address
1518 W 9TH AVE, STILLWATER, OK 74074-5468
(405) 377-4445
(405) 377-4448
Mailing address
1518 W 9TH AVE, STILLWATER, OK 74074-5468
(405) 377-4445
(405) 377-4448
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8-2789
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238670A
—
OK
05
—
100633130A
—
OK
05
—
100682640A
—
OK
05
—
100807540A
—
OK
Enumeration date
06/16/2006
Last updated
12/09/2020
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