Organization
FIKES PHARMACY INC
Active
Other names
FIKES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CORY FIKES DPH (OWNER AND MANAGER)
(580) 479-5696
Entity
Organization
Contact information
Practice address
101 E 2ND STREET, GRANDFIELD, OK 73546
(580) 479-5696
(580) 479-5662
Mailing address
PO BOX 159, GRANDFIELD, OK 73546-0159
(580) 479-5696
(580) 479-5662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23981
TX
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
424672
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245210A
—
OK
01
—
2076174
PK
—
05
—
580095
—
TX
05
—
90003930377
—
OK
Enumeration date
11/20/2006
Last updated
04/07/2017
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