| Organization Name: | KEYES' COMPOUNDING & SPECIALTY DRUG, LLC |
| NPI Number: | 1164701645 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE HUTTON KEYES (PHARMD/OWNER) |
| Mailing Address: | 2103 S Main St Suite K Elk City |
| State: | OK US |
| Postal Code: | 736449166 |
| Phone Number: | 5802255273 |
| Fax Number: | 5803034483 |
| NPI Enumeration Date: | 08/15/2011 |
| NPI Last Update Date: | 01/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |