Ole Miners Pharmacy

NPI 1295832558 - Pharmacy - 333600000X

NPI Details
NPI 1295832558
Enumeration Date 09/20/2006
Last Updated 01/28/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY D GARY
Position OWNER
Phone (918) 673-1552
Fax (918) 673-2050
Practice Location
103 S CONNELL AVE
PICHER OK, 74360-0248, US
Phone (918) 673-1552
Fax (918) 673-2050
Business Location
103 S CONNELL AVE
PICHER OK, 74360-1533, US
Phone (918) 673-1552
Fax (918) 673-2050
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Ole Miners Pharmacy NPI is 1295832558, taxonomy code is 333600000X Ole Miners Pharmacy physically located at 103 S Connell Ave, Picher OK, 74360-0248. NPI Number 1033115704 has the healthcare provider type.

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1295832558 NPI number is provided on an as is basis without warranty of any kind. 1295832558 is maintained by the National Plan & Provider Enumeration System. The contents of Ole Miners Pharmacy are for informational purposes only.