Organization
BARLOWS DRUG AND GIFTS INC
Active
Other names
FAIRFAX HEALTH MART DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BARLOW RPH (OWNER)
(918) 642-3318
Entity
Organization
Contact information
Practice address
249 N MAIN ST, FAIRFAX, OK 74637-3024
(918) 642-3318
(918) 642-3447
Mailing address
249 N MAIN ST, FAIRFAX, OK 74637-3024
(918) 642-3318
(918) 642-3447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
164908
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240470A
—
OK
01
—
2074297
PK
—
Enumeration date
09/30/2006
Last updated
07/02/2014
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