Organization
ECK DRUG CO INC
Active
Other names
ECK DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI ECK DPH MBA (OWNER MANAGER VICE PRESIDENT)
(580) 229-1141
Entity
Organization
Contact information
Practice address
11103 HIGHWAY 76, HEALDTON, OK 73438-1723
(580) 229-1141
(580) 229-1136
Mailing address
PO BOX 460, HEALDTON, OK 73438-0460
(580) 229-1141
(580) 229-1136
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12387
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102235230A
—
OK
01
—
3703205
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2006
Last updated
08/11/2011
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