Healthcare Provider Details

I. General information

NPI: 1306677026
Provider Name (Legal Business Name): SKINNER PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7530 NW 23RD ST
BETHANY OK
73008-4921
US

IV. Provider business mailing address

7530 NW 23RD ST
BETHANY OK
73008-4921
US

V. Phone/Fax

Practice location:
  • Phone: 405-789-8921
  • Fax: 405-789-8960
Mailing address:
  • Phone: 405-789-8921
  • Fax: 405-789-8960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM EARL OSBORN
Title or Position: VP
Credential:
Phone: 918-542-4444