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Organization

TEXOMA MEDICAL SERVICES INC

Active
Other names
WESTERN DRUG #4
Organization subpart
No

Provider details

NPI number
Authorized official
ROSS FOSTER PHD (PHARMACIST)
(580) 323-1136
Entity
Organization

Contact information

Practice address
2008 W GARY BLVD, CLINTON, OK 73601-5302
(580) 323-1136
(580) 323-1821
Mailing address
PO BOX 236, TALOGA, OK 73667-0236
(580) 328-5208
(580) 328-5211

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
28-4956
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100846370I
OK
01
2076578
PK
Enumeration date
04/17/2006
Last updated
08/29/2024
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