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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATT'S COUNTRY BOY PHARMACY LLC

Active Organization

MATT'S COUNTRY BOY PHARMACY LLC is a Pharmacy organization located in CHOCTAW, Oklahoma. NPI 1164774709 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · CHOCTAW, OK

Registration Details

NPI Number
1164774709
Provider Type
Organization
NPI Issued
Oct 5, 2012 (13.875958593333 yrs)
Last Updated
Aug 25, 2016
License
1-6052 (OK)

Practice Information

Address
14890 SE 29TH ST STE 108
CHOCTAW, OK, 730203516
Browse OK providers · Browse ZIP 73020
Phone
4053903205
Fax
4053902516
Primary Specialty
Pharmacy
333600000X
Additional Specialty
Pharmacy

Other Pharmacy Organizations in CHOCTAW, OK

Name NPI
OKLAHOMA CVS PHARMACY LLC 1326146044
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.