Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matt's Country Boy Pharmacy LLC

Organization Pharmacy · NPI 1164774709

Matt's Country Boy Pharmacy LLC is a Pharmacy in Choctaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14890 SE 29th St Ste 108
Choctaw, OK 73020-3516
Phone: (405) 390-3205
Fax: (405) 390-2516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 1-6052 (OK)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1164774709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Evans — Pharmacist/Owner · (405) 390-3205
Other names Country Boy Pharmacy
NPI enumeratedOctober 5, 2012
Last updated in NPPESAugust 25, 2016
Mailing address14890 Se 29th St Ste 108, Choctaw, OK 73020-3516

Other providers in Choctaw