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Contact Information

HOLDER-SOUTHERN DRUG COMPANY INC
513 BARNES AVE
ALVA, OK73717
 Phone: 580-327-3332
 Fax: 580-327-1848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HOLDER-SOUTHERN DRUG COMPANY INC

NPI # 1396835013
LBN Legal business name HOLDER-SOUTHERN DRUG COMPANY INC
Authorized official JOHN HOLDER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 09/21/2020 - About 6 years ago
Identifiers
OK License # 50-2293
OK Medicaid 1002372301A
OK Medicaid 1002372301B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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