SIMPSON PHARMACY, PLLC
802 N Park Dr
Broken Bow, OK 74728
580-584-2850
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 | 3336L0003X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | OK | 25-5106 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2077059 | OTHER | |
200082880A | OK | MEDICAID |