Ken'S Healthmart LLC
Pharmacy, Community/Retail Pharmacy in Cushing, OK. Organization (NPI-2).
NPI number1902999345
StatusActive
Last updated in NPPESJan 13, 2016
Details
- NPI
- 1902999345
- Entity type
- Organization (NPI-2)
- Legal business name
- Ken'S Healthmart LLC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2006
- Last updated
- Jan 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 8-2834 | OK | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Kens Healthmart Pharmacy LLC (Doing Business As)
Practice location
200 S Highland AveCushing, OK 74023-4117
Phone 918-225-5200 · Fax 918-225-0828
Mailing address
200 S Highland AveCushing, OK 74023-4117
Phone 918-225-5200 · Fax 918-225-0828
Authorized official
Ken Hibbard
Owner
9182255200
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Other Community/Retail Pharmacy providers in Cushing, OK
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All 5 Community/Retail Pharmacy providers in Cushing · All 214 providers in Cushing
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