Kidd Healthmart Drug Co

NPI 1295880185 - Pharmacy - 3336L0003X

NPI Details
NPI 1295880185
Enumeration Date 01/24/2007
Last Updated 06/16/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN SUSAN
Position PRESIDENT
Phone (580) 227-4685
Fax (580) 227-2351
Practice Location
104 N MAIN ST
FAIRVIEW OK, 73737-1621, US
Phone (580) 227-4685
Fax (580) 227-2351
Business Location
104 N MAIN ST
FAIRVIEW OK, 73737-1621, US
Phone (580) 227-4685
Fax (580) 227-2351
Toxanomy
Taxonomy Code 3336L0003X
License State
License Number
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According to our database, Kidd Healthmart Drug Co NPI is 1295880185, taxonomy code is 3336L0003X Kidd Healthmart Drug Co physically located at 104 N Main St, Fairview OK, 73737-1621. NPI Number 1033115704 has the healthcare provider type.

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1295880185 NPI number is provided on an as is basis without warranty of any kind. 1295880185 is maintained by the National Plan & Provider Enumeration System. The contents of Kidd Healthmart Drug Co are for informational purposes only.