WENJEST CORPORATION
4129 Se 29th St
Del City, OK 73115
405-672-2180
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | OK | 1-5208 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200116490A | OK | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 3723815 | OTHER |