Puckett Food Stores Inc Valid NPI
Organization · Community/Retail Pharmacy · Mangum, OK
- NPI
- 1821083809
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 60-5307 (OK)
- Enumerated
- 2005-09-15
- Last updated
- 2019-12-16
Practice location
101 N Louis Tittle Ave
Mangum, OK 73554-4420
(580) 782-2131