Organization Name: | HONEY CREEK PHARMACY INC |
NPI Number: | 1073512471 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY K JONES (PRESIDENT) |
Mailing Address: | 1114 S Main St Grove |
State: | OK US |
Postal Code: | 743442800 |
Phone Number: | 9187866171 |
Fax Number: | 9187869011 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 7663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |