Leedey Drug Inc
Organization Active NPI Community/Retail Pharmacy · Leedey, OK
NPI 1508921552 · NPPES record last updated Mar 1, 2017
Key facts
- NPI
- 1508921552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 70-430 (OK)
- Legal business name
- LEEDEY DRUG INC
- Practice address
- 421 S Main
Leedey, OK 73654-0296 - Phone
- (580) 488-3393
- Fax
- (580) 488-2159
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Richard Pierce, DPH
- Title
- DPH
- Phone
- (580) 488-3393
Practitioners 1
National Provider Directory
Locations
421 S Main St
Leedey, OK 73654
Phone (580) 488-3393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 70-430 | OK | Yes |
Addresses
Primary practice location
421 S Main
Leedey, OK 73654-0296
Mailing address
PO Box 296
Leedey, OK 73654-0296
Phone (580) 488-3393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100233150A | Medicaid | OK | |
| 2072946 | Other | PK |
Other names
- LEEDEY DRUG INC
Other providers in Leedey, OK
- Leedey Ambulance Service
- Leedey Public Works Authority
- Richard Lindell Pierce
- Reflections Counseling Services
All providers in Leedey, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.