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SOONER PHARMACY OF DAVIS INC NPI 1083625628


NPI Information

NPI: 1083625628
Provider Name: SOONER PHARMACY OF DAVIS INC

Doing Business As: SOONER PHARMACY OF DAVIS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
705 E MAIN ST
DAVIS, OK
ZIP 73030
Phone: (580) 369-3776
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SOONER PHARMACY OF DAVIS INC is a community/retail pharmacy pharmacy in Davis, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SOONER PHARMACY OF DAVIS INC NPI is 1083625628. The provider is registered as an organization entity type.
The provider Is Doing Business As Sooner Pharmacy Of Davis.

The provider's business location address is:

705 E MAIN ST
DAVIS, OK
ZIP 73030-913
Phone: (580) 369-3776
Fax: (580) 369-2115

The provider's authorized official is Michael Lee .
The authorized official title is President and has the following contact phone number (580) 369-3776.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy55-4238OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12073930OTHERPK
20535850001MEDICARE NSC
3100238120AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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