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Matt's Country Boy Pharmacy Llc
Community/Retail Pharmacy in Choctaw, Oklahoma
NPI 1164774709

Matt's Country Boy Pharmacy Llc is a Community/Retail Pharmacy based in Choctaw, OK and is specialized in Community/Retail Pharmacy. Matt's Country Boy Pharmacy Llc practices in Choctaw, OK. The NPI Number for Matt's Country Boy Pharmacy Llc is 1164774709 and holds a License No. 1-6052 (Oklahoma).

The current practice location address for Matt's Country Boy Pharmacy Llc is 14890 Se 29Th St Ste 108, Choctaw, OK and can be reached out via phone at 405-390-3205 and via fax at 405-390-2516.

Location: 14890 Se 29Th St Ste 108, Choctaw, OK, 73020-3516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164774709
Provider Name
Matt's Country Boy Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
14890 Se 29Th St Ste 108, Choctaw, OK, 73020-3516
Phone Number
405-390-3205
Fax Number
405-390-2516
Provider Enumeration Date
10/05/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2137264 01 PK
200464490A 05 OK
institution
Provider Business Practice Location Address Details
Address
14890 Se 29Th St Ste 108
City
Choctaw
State
Oklahoma
Zip
73020-3516
Phone Number
405-390-3205
Fax Number
405-390-2516
person
Provider Business Mailing Address Details
Address
14890 Se 29Th St Ste 108
City
Choctaw
State
Oklahoma
Zip
73020-3516
Phone Number
405-390-3205
Fax Number
405-390-2516
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
1-6052 (Oklahoma)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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