Larry R Dismore in Snyder - Community/retail Pharmacy
Larry R Dismore - NPI 1235112699
Larry R Dismore is a Community/retail Pharmacy in Snyder, Oklahoma. Larry R Dismore practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Larry R Dismore is 1235112699. The last update date is 2016-01-21.
Larry R Dismore's current location address is 616 E St, Snyder, Oklahoma. You can contact this provider via phone number 5805692008 and fax number 5805694929. The mailing address for Larry R Dismore is 616 E St, Snyder, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry R Dismore |
|---|---|
| Address | 616 E St, Snyder, Oklahoma |
| Phone Number | 5805692008 |
| Fax Number | 5805694929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Dismone Larry |
| Credentials | DPH |
| Telephone Number | 5805692008 |
NPI Number Detail
| NPI Number | 1235112699 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2016-01-21 |
Provider Mailing Address Detail
| Address | 616 E St |
|---|---|
| City | Snyder |
| State | Oklahoma (OK) |
| Post Code | 735661850 |
| Phone Number | 5805692008 |
| Fax Number | 5805694929 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 41-2210 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100235810A | OK | -- | |
| 2073255 | PK |
Post Comment/ Review Below
What is the unique identification code assigned to Larry R Dismore by the Centers for Medicare & Medicaid Services?
The Larry R Dismore has been issued the NPI (National Provider Identifier) 1235112699. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry R Dismore?
The Larry R Dismore is situated at 616 E St, in the city of Snyder, state of OK, with the zip code 735661850.
What is Larry R Dismore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry R Dismore is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
On what date was the 1235112699 assigned to Larry R Dismore?
The Larry R Dismore was issued its 1235112699 on 2005-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Larry R Dismore most recently updated or revised?
The information pertaining to Larry R Dismore, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-21.