Organization Name: | SHAWNEE REGIONAL PHARMACY INC |
NPI Number: | 1851308324 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAUREN PALMER (RX MANAGER/CO-OWNER) |
Mailing Address: | 704 S 8th St Ste B Mcloud |
State: | OK US |
Postal Code: | 748518633 |
Phone Number: | 4059643956 |
Fax Number: | 4059643959 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 06/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |