Legal Business Name
Sanzro Llc
Also Known As
S & D Drug
NPI Number
1174520324
NPI Type
Organization
Enumeration Date
07/01/2005
Specialties
(Taxonomies)Code
3336C0003X
3336L0003X
333600000X
Primary Taxonomy
Yes
No
No
Licenses
State
Oklahoma
License Number
28-5420
Contact
Information
Purpose
Mailing
Location
Address
915 FRISCO AVE
915 FRISCO AVE
City
Clinton
Clinton
State
OK
OK
Postal Code
73601-3324
73601-3324
Country
US
US
Telephone Number
(580) 323-2020
(580) 323-2020
Authorized Official
Name
Michael Scott Campbell
Title or Position
OWNER
Telephone Number
(580) 323-2020
Identifiers
Identifier
100236080A
2120362
Identifier State
OK
Unknown
Identifier Issuer
Unknown
PK
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/23/2021
Provider Address
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