Organization
OKEMAH PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMER A FRECH DPH (PRESIDENT)
(918) 623-2510
Entity
Organization
Contact information
Practice address
106 S WOODY GUTHRIE ST, OKEMAH, OK 74859-4047
(918) 623-2510
(918) 623-0319
Mailing address
106 S WOODY GUTHRIE ST, OKEMAH, OK 74859-4047
(918) 623-2510
(918) 623-0319
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
514473
OK
335E00000X
Prosthetic/Orthotic Supplier
50
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234550A
—
OK
Enumeration date
10/26/2006
Last updated
06/01/2016
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