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1346988565
PRAIRIE GARDENS PHARMACY LTC INC
OKLAHOMA CITY, OK
NPI
1346988565
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Entity Type
Organization
Authorized Contact
TROY SIMONS
President
405-742-8099
Organization Subpart ?
No
Primary Taxonomy
3336L0003X Pharmacy Long Term Care Pharmacy
Enumeration Date
2022-05-26
Last Update Date
2022-11-18
Business Address
PRAIRIE GARDENS PHARMACY LTC INC
12301 N WESTERN AVE STE 106
OKLAHOMA CITY, OK 73114-8017
Phone number: 405-768-1818
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Mailing Address
PRAIRIE GARDENS PHARMACY LTC INC
824 S WALNUT ST
STILLWATER, OK 74074-4225
Phone number: 918-510-0648
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