Onesource LLC
Pharmacy, Community/Retail Pharmacy in Caddo, OK. Organization (NPI-2).
NPI number1154733293
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1154733293
- Entity type
- Organization (NPI-2)
- Legal business name
- Onesource LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2014
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 27-6731 | OK | Yes |
Other names
- Onesource (Doing Business As)
Practice location
124 Buffalo StCaddo, OK 74729-2606
Phone 580-279-6001 · Fax 580-367-2206
Mailing address
31 Liberty StCalera, OK 74730-5519
Phone 580-302-2322 · Fax 580-434-6250
Authorized official
Tony Hudgins
President
5802796001
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