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Puckett Food Stores Inc
Long Term Care Pharmacy in Mangum, Oklahoma
NPI 1821083809

Puckett Food Stores Inc is a Long Term Care Pharmacy based in Mangum, OK and is specialized in Long Term Care Pharmacy. Puckett Food Stores Inc practices in Mangum, OK. The NPI Number for Puckett Food Stores Inc is 1821083809 and holds a License No. 60-5307 (Oklahoma).

The current practice location address for Puckett Food Stores Inc is 101 N Louis Tittle Ave, Mangum, OK and can be reached out via phone at 580-782-2131 and via fax at 580-782-9280.

Location: 101 N Louis Tittle Ave, Mangum, OK, 73554-0148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821083809
Provider Name
Puckett Food Stores Inc
Credential
Provider Entity Type
Organization
Address
101 N Louis Tittle Ave, Mangum, OK, 73554-0148
Phone Number
580-782-2131
Fax Number
580-782-9280
Provider Enumeration Date
09/15/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2073882 01 PK
100235110B 05 OK
institution
Provider Business Practice Location Address Details
Address
101 N Louis Tittle Ave
City
Mangum
State
Oklahoma
Zip
73554-4420
Phone Number
580-782-2131
Fax Number
580-782-9280
person
Provider Business Mailing Address Details
Address
101 N Louis Tittle Ave
City
Mangum
State
Oklahoma
Zip
73554-4420
Phone Number
580-782-2131
Fax Number
580-782-9280
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
60-5307 (Oklahoma)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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