Gatrell 6 Enterprises LLC

Organization Active NPI Community/Retail Pharmacy · Pawhuska, OK

NPI 1255424693 · NPPES record last updated Dec 6, 2021

Key facts

NPI
1255424693
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
GATRELL 6 ENTERPRISES LLC
Practice address
714 Kihekah Ave
Pawhuska, OK 74056-3206
Phone
(918) 287-1317
Fax
(918) 287-1158
NPI assigned
Sep 30, 2006
Organization subpart
No

Authorized official

Name
Gavin Gatrell
Title
Owner
Phone
(918) 287-1158

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

714 Kihekah Ave
Pawhuska, OK 74056
Phone (918) 287-1317

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

714 Kihekah Ave
Pawhuska, OK 74056-3206

Mailing address

714 Kihekah Ave
Pawhuska, OK 74056-3206
Phone (918) 287-1317

Other identifiers

IdentifierTypeStateIssuer
100237390AMedicaidOK
2073862OtherPK

Other names

  • WEIGANTS PHARMACY Doing business as

Other providers in Pawhuska, OK

All providers in Pawhuska, OK · Community/Retail Pharmacy in Oklahoma

Sources for this page

Verify at the official NPI Registry.