Organization
RX SHOPPE INC
Active
Other names
rx shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BUTLER (PIC/PRESIDENT)
(918) 786-1092
Entity
Organization
Contact information
Practice address
901 S MAIN ST, GROVE, OK 74344-2845
(918) 786-1092
(918) 786-4642
Mailing address
PO BOX 6598, GROVE, OK 74344-6598
(918) 786-1092
(918) 786-4642
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
45-7418
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287880A
—
OK
01
—
2125170
PK
—
Enumeration date
05/24/2010
Last updated
12/18/2016
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