HOLDER-SOUTHERN DRUG COMPANY INC (NPI# 1396835013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396835013 |
| Entity Type | Organization |
| Organization Name | HOLDER-SOUTHERN DRUG COMPANY INC |
| Other Organization Name | HOLDER DRUG |
| Practice Address |
513 Barnes Ave Alva OK 73717 |
| Mailing Address |
513 Barnes Ave Alva OK 73717-2229 |
| Practice Telephone | 5803273332 |
| Practice Fax Number | 5803271848 |
| Mailing Telephone | 5803273332 |
| Mailing Fax Number | 5803271848 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | JOHN TODD HOLDER (PRESIDENT) |
| Authorized Official Telephone | 5803273332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
50-2293 | OK | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50-2293 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1002372301A | 05 | |
| OK | 1002372301B | 05 |
| Other Name | Type Code |
|---|---|
| Holder Drug | Doing Business As Name - Organization |
| Street Address |
513 BARNES AVE |
| City | ALVA |
| State | OK |
| Zip Code | 73717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255909 | Callie Diane Pray | Pharmacist | 513 Barnes Ave, Alva, OK 73717-2229 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382441 | Callie Mosburg | Optometrist | 921 Oklahoma Blvd Ste A, Alva, OK 73717 | 2015-07-27 |
| 1912238924 | Molly Mae Thompson | Counselor | 510 5th St., Alva, OK 73717 | 2010-01-15 |
| 1023214939 | Michelle Baird | Counselor | 429 Barnes Street, Alva, OK 73717 | 2007-06-26 |
| 1619171253 | Stacie Nixon | Counselor | 429 Barnes St, Alva, OK 73717 | 2007-06-14 |
| 1235351552 | Northwest Domestic Crisis Services, Inc. | Community/Behavioral Health | 1330 Oklahoma Blvd., Alva, OK 73717 | 2007-05-03 |
| 1093849440 | North Oklahoma County Mental Health Center | Counselor | 429 Barnes, Alva, OK 73717 | 2007-03-16 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| 1407968621 | Brent Michael Bogdanovecz | Chiropractor | 317 College Ave, Alva, OK 73717 | 2006-09-01 |
| 1538675624 | Erin Paige Kruckenberg | Family Medicine | 800 Share Dr, Alva, OK 73717 | 2017-12-27 |
| 1225341803 | Michael Duane Elsey | Counselor | 510 5th St., Alva, OK 73717 | 2010-07-23 |
| Find all providers in zip 73717 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.