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Organization

PILL BOX PHARMACY LLC

Active
Other names
Pill Box Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA KAY MAST PHARMD (OWNER/PIC)
(918) 512-6635
Entity
Organization

Contact information

Practice address
1329 S MAIN ST UNIT C, SAPULPA, OK 74066-5505
(918) 512-6635
(918) 512-6638
Mailing address
1329 S MAIN ST, UNIT C, SAPULPA, OK 74066-5500
(918) 512-6635
(918) 512-6658

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
11-6064
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200458560A
OK
01
2137125
PK
Enumeration date
09/20/2012
Last updated
07/09/2020
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