Healthcare Provider Details

I. General information

NPI: 1427132182
Provider Name (Legal Business Name): MAYS DRUG STORES IN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 W KENOSHA ST
BROKEN ARROW OK
74012-8517
US

IV. Provider business mailing address

2100 BROOKWOOD DR
LITTLE ROCK AR
72202-1734
US

V. Phone/Fax

Practice location:
  • Phone: 918-461-9968
  • Fax: 918-416-9049
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number24438
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOYCE STROM
Title or Position: RETAIL SUPPORT
Credential:
Phone: 501-296-3312