Med-X Corporation
Pharmacy, Community/Retail Pharmacy in Bixby, OK. Organization (NPI-2).
NPI number1720162860
StatusActive
Last updated in NPPESApr 5, 2017
Details
- NPI
- 1720162860
- Entity type
- Organization (NPI-2)
- Legal business name
- Med-X Corporation
- Organization subpart
- Yes
- Enumeration date
- Oct 25, 2006
- Last updated
- Apr 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 22997 | OK | |
| 333600000X | Pharmacy | 22997 | OK |
Other names
- Med-X Drug #15 (Doing Business As)
Practice location
15030 S Memorial DrBixby, OK 74008-3706
Phone 918-366-9410 · Fax 918-366-9415
Mailing address
1901 E VoorheesMs 790
Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alan Nielsen
Treasurer
8473153523
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