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NPI Code Detail

MEDICARE: RICKS PHARMACY INC

MEDICARE: RICKS PHARMACY 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
13336C0003XCommunity/Retail Pharmacy5-5462OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12121551OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285866335
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICKS PHARMACY INC
Provider Business Mailing Address
First Line : 811 W RANDOLPH AVE
Second Line :
City : ENID
State : OK
Zip : 73701-3834
Country : US
Telephone Number : 580-237-1535
Fax Number : 580-237-0688
Provider Business Practice Location Address
First Line : 811 W RANDOLPH AVE
Second Line :
City : ENID
State : OK
Zip : 73701-3834
Country : US
Telephone Number : 580-237-1535
Fax Number : 580-237-0688
Authorized Official
Title or Position : PHARMACIST/OWNER
Name : RICK HILL
Credential :
Telephone Number : 580-237-1535
Provider Enumeration Date : 08/21/2009
Last Update Date : 08/12/2021

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Directions to “RICKS PHARMACY INC ” Practice Location

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