Provider Demographics
NPI:1720620701
Name:THRIFTY PHARMACY NO III INC
Entity Type:Organization
Organization Name:THRIFTY PHARMACY NO III INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANI
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:405-715-4405
Mailing Address - Street 1:230 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-4766
Mailing Address - Country:US
Mailing Address - Phone:405-715-4405
Mailing Address - Fax:405-715-4407
Practice Address - Street 1:230 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-4766
Practice Address - Country:US
Practice Address - Phone:405-715-4405
Practice Address - Fax:405-715-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy