Provider Demographics
NPI:1194857839
Name:F & T PHARMACIES INC
Entity Type:Organization
Organization Name:F & T PHARMACIES INC
Other - Org Name:HUMPTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHRM OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:PROCTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-224-2704
Mailing Address - Street 1:8425 SHADYWOOD DRIVE
Mailing Address - Street 2:C/O FRANK PROCTOR
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74131
Mailing Address - Country:US
Mailing Address - Phone:918-224-2704
Mailing Address - Fax:918-224-2713
Practice Address - Street 1:1001 E DEWEY AVE
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4558
Practice Address - Country:US
Practice Address - Phone:918-224-2704
Practice Address - Fax:918-224-2713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
OK1140403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2074059OtherPK
2074059OtherPK