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NPI Code Detail

MEDICARE: MAYS DRUG STORES INC

MEDICARE: MAYS DRUG STORES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy43574OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13718220OTHEROKNCPDP

General Provider Information

NPI Number : 1003987942
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAYS DRUG STORES INC
Provider Business Mailing Address
First Line : 2100 BROOKWOOD DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-1734
Country : US
Telephone Number : 501-296-3312
Fax Number : 501-296-3310
Provider Business Practice Location Address
First Line : 3202 WEST OKMULGEE
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401
Country : US
Telephone Number : 918-683-2211
Fax Number : 918-683-2264
Authorized Official
Title or Position : VP PHARMACY SERVICES
Name : DAVID T STROUD
Credential : RPH
Telephone Number : 501-296-3312
Provider Enumeration Date : 11/13/2006
Last Update Date : 08/22/2020

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Directions to “MAYS DRUG STORES INC ” Practice Location

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