Dielrx
Pharmacy, Community/Retail Pharmacy in Enid, OK. Organization (NPI-2).
NPI number1013174366
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1013174366
- Entity type
- Organization (NPI-2)
- Legal business name
- Dielrx
- Organization subpart
- No
- Enumeration date
- May 22, 2008
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 55299 | OK | Yes |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – |
Other names
- Family Pharmacy (Doing Business As)
Practice location
2311 W Willow RdEnid, OK 73703-2433
Phone 580-234-7700 · Fax 580-234-7731
Mailing address
915 E Garriott RdEnid, OK 73701-6156
Phone 580-233-4244 · Fax 580-233-5319
Authorized official
Grant Diel
Owner
5805423232
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