Thackerville Pharmacy
Thackerville Pharmacy is a Pharmacy in Thackerville, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.
- Licensed in
- OK
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
11530 Ridge Rd Ste 1Thackerville, OK 73459-9623
Phone: (580) 276-5161
Fax: (580) 276-9063
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 72-5917 (OK) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Compounding Pharmacy | Taxonomy 3336C0004X |
Record details
| NPI number | 1669777058 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan South — Manager · (580) 276-5161 |
| Other names | Thackerville Pharmacy |
| NPI enumerated | January 18, 2011 |
| Last updated in NPPES | March 6, 2017 |
| Mailing address | 11530 Ridge Rd, Suite 1, Thackerville, OK 73459-9622 |