THOMAS WILSON PHARMACY INC
911 S Air Depot Blvd
Midwest City, OK 73110
405-737-3464
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | OK | 1-7280 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100234270A | OK | MEDICAID | |
100234270B | OK | MEDICAID | |
PK | 2081553 | OTHER |