MEDICAL CENTER PHARMACY OF DURANT INC
1026 Radio Rd
Durant, OK 74701
580-924-7425
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 333600000X | Suppliers - Pharmacy | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
N | 3336H0001X | Suppliers - Pharmacy | ||
N | 3336L0003X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | OK | 27-4846 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100234540A | OK | MEDICAID | |
PK | 2072728 | OTHER |