NPI 1003909441
Pawnee Hillcrest Pharmacy Enterprises, LLC
Practice location
- Address
- 539 6th Street, Pawnee, OK 74058-2542
- Phone
- (918) 762-3666
- Fax
- (918) 762-2288
Authorised official
- Name
- Brooke Lynn Tatum
- Title
- Owner/Pharmacist
- Phone
- (918) 762-3666
Registered specialties (4)
Community/Retail Pharmacy
Primary
Community/Retail Pharmacy
Compounding Pharmacy
Long Term Care Pharmacy
Registry record
- NPI
- 1003909441
- Entity type
- Organization
- NPI issued
- 30 Sep 2006
- Record last updated
- 28 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.