Provider Demographics
NPI:1184743668
Name:SUGGS DRUGS INC.
Entity type:Organization
Organization Name:SUGGS DRUGS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:SUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:D PH
Authorized Official - Phone:918-224-3883
Mailing Address - Street 1:25 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-4219
Mailing Address - Country:US
Mailing Address - Phone:918-224-3883
Mailing Address - Fax:918-227-3315
Practice Address - Street 1:25 S PARK ST
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4219
Practice Address - Country:US
Practice Address - Phone:918-224-3883
Practice Address - Fax:918-227-3315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1145973336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy