Organization
FOSTER SPECIALTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS (PRESIDENT)
(405) 742-8099
Entity
Organization
Contact information
Practice address
328 N 6TH ST, PERRY, OK 73077
(580) 336-2136
(580) 336-9445
Mailing address
328 N 6TH ST, PERRY, OK 73077
(580) 336-2136
(580) 336-9445
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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