Heartlandrxok, LLC
Pharmacy, Community/Retail Pharmacy in Meeker, OK. Organization (NPI-2).
NPI number1124537014
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1124537014
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartlandrxok, LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2017
- Certification date
- Mar 10, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 31-8035 | OK | Yes |
Other names
- Heartland Pharmacy (Doing Business As)
Practice location
501 W Carl Hubbell BlvdMeeker, OK 74855-9119
Phone 405-279-1043 · Fax 405-279-1058
Mailing address
501 W Carl Hubbell BlvdMeeker, OK 74855-9119
Fax 405-279-1058
Authorized official
Mike D Miller
President/Owner
4056592784
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