Laverne Pharmacy Management Inc

NPI 1043384431 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1043384431
Enumeration Date 11/20/2006
Last Updated 02/12/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRYAN BRYAN
Position PIC
Phone (580) 921-3373
Fax (580) 921-5469
Practice Location
102 W JANE JAYROE
LAVERNE OK, 73848-1250, US
Phone (580) 921-3373
Fax (580) 921-5469
Business Location
PO BOX 1250
LAVERNE OK, 73848-1250, US
Phone
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Laverne Pharmacy Management Inc NPI is 1043384431, taxonomy code is 332B00000X Laverne Pharmacy Management Inc physically located at 102 W Jane Jayroe, Laverne OK, 73848-1250. NPI Number 1033115704 has the healthcare provider type.

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1043384431 NPI number is provided on an as is basis without warranty of any kind. 1043384431 is maintained by the National Plan & Provider Enumeration System. The contents of Laverne Pharmacy Management Inc are for informational purposes only.