WINEGARDNER INC
3306 N Kickapoo Ave
Shawnee, OK 74804
405-275-9640
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | OK | 10-5421 |
N | 3336L0003X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100811090B | OK | MEDICAID | |
PK | 2074787 | OTHER |