Organization
THE SCRIPT SHOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES COLVIN KELLEY D.PH. (PRESIDENT PHARMACIST)
(580) 925-2106
Entity
Organization
Contact information
Practice address
207 N BROADWAY ST, KONAWA, OK 74849-2234
(580) 925-3201
(580) 925-3729
Mailing address
207 N BROADWAY ST, KONAWA, OK 74849-2234
(580) 925-3201
(580) 925-3729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
244253
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244253
STATE LICENSE
OK
01
—
3711923
NCPDP
OK
Enumeration date
03/02/2007
Last updated
03/07/2023
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