Organization
THE CITY DRUG, INC.
Active
Other names
City Drug, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT EVANS LIVELY D.PH. (OWNER)
(918) 273-3825
Entity
Organization
Contact information
Practice address
128 E CHEROKEE AVE, NOWATA, OK 74048-2702
(918) 273-3825
(918) 273-2251
Mailing address
128 E CHEROKEE AVE, NOWATA, OK 74048-2702
(918) 273-3825
(918) 273-2251
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53-123
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232330A
—
OK
01
—
2073027
PK
—
Enumeration date
11/08/2006
Last updated
12/14/2021
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