Healthcare Provider Details

I. General information

NPI: 1588150528
Provider Name (Legal Business Name): D AND L STRATEGIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W MAIN ST
HOMINY OK
74035-1032
US

IV. Provider business mailing address

104 W MAIN ST
HOMINY OK
74035-1032
US

V. Phone/Fax

Practice location:
  • Phone: 918-885-2715
  • Fax: 918-885-4516
Mailing address:
  • Phone: 918-885-2715
  • Fax: 918-885-4516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number16-8227
License Number StateOK

VIII. Authorized Official

Name: MR. DENZIL LARRY CARNEY
Title or Position: PHARMACIST/OWNER
Credential: R.PH.,
Phone: 918-885-2715