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Black Drug Inc
Compounding Pharmacy in Locust Grove, Oklahoma
NPI 1952452955

Black Drug Inc is a Compounding Pharmacy based in Locust Grove, OK and is specialized in Compounding Pharmacy. Black Drug Inc practices in Locust Grove, OK. The NPI Number for Black Drug Inc is 1952452955 and holds a License No. (Oklahoma).

The current practice location address for Black Drug Inc is 412 E Main St, Locust Grove, OK and can be reached out via phone at 918-479-5223 and via fax at 918-479-6510.

Location: 412 E Main St, Locust Grove, OK, 74352-0669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952452955
Provider Name
Black Drug Inc
Credential
Provider Entity Type
Organization
Address
412 E Main St, Locust Grove, OK, 74352-0669
Phone Number
918-479-5223
Fax Number
918-479-6510
Provider Enumeration Date
01/16/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2081532 01 PK
100232740A 05 OK
institution
Provider Business Practice Location Address Details
Address
412 E Main St
City
Locust Grove
State
Oklahoma
Zip
74352-5117
Phone Number
918-479-5223
Fax Number
918-479-6510
person
Provider Business Mailing Address Details
Address
412 E Main St
City
Locust Grove
State
Oklahoma
Zip
74352-5117
Phone Number
918-479-5223
Fax Number
918-479-6510
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.
30-4476 (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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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