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GORE GREEN COUNTRY DRUG, INC.

Medical Equipment Supplier Yellow Pages

Gore, Oklahoma

Provider NPI: 1548262132

Organization Information:
Organization Name:  GORE GREEN COUNTRY DRUG, INC.


Practice Location:
305 N MAIN ST  GORE, OK 74435 US
Tel: 918-489-5558  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
Y3336C0003XSuppliers
Pharmacy
OK34-5226

Other Provider Identifiers:

IssuerNumberStateType
100234940AOK05
PK207356501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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