Matt's Country Boy Pharmacy Llc is not a DME supplier for medicare equipments and products.
Matt's Country Boy Pharmacy Llc is a Pharmacy in Choctaw, Oklahoma. It is located at 14890 Se 29th St Ste 108, Choctaw and it's customer support contact number is 405-390-3205. The authorized person of Matt's Country Boy Pharmacy Llc is Matt Evans who is Pharmacist/owner of the pharmacy and his contact number is 405-390-3205. Active license number of Matt's Country Boy Pharmacy Llc is 1-6052 for Pharmacy in Oklahoma. Matt's Country Boy Pharmacy Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Matt's Country Boy Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Matt's Country Boy Pharmacy Llc
Type:
Pharmacy
Location:
14890 Se 29th St Ste 108, Choctaw, Oklahoma, 73020-3516
Phone:
405-390-3205
Fax:
405-390-2516
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Matt Evans
Position:
Pharmacist/owner
Contact Number:
405-390-3205
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1164774709
NPI Enumeration Date:
05 Oct, 2012
NPI Last Update On:
25 Aug, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matt's Country Boy Pharmacy Llc are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
1-6052
Oklahoma
Primary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2137264
Other
Pk
200464490A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
14890 Se 29th St Ste 108, Choctaw, Oklahoma
Zip:
73020-3516
Phone Number:
405-390-3205
Fax Number:
405-390-2516
Patients can reach Matt's Country Boy Pharmacy Llc at 14890 Se 29th St Ste 108, Choctaw, Oklahoma or can call on customer care at 405-390-3205.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Choctaw, Oklahoma
Wal-mart Stores East Lp Address: 14185 Mack Harrington Dr, Choctaw, OK Phone: 405-390-4495 Fax: 405-390-4745Oklahoma Cvs Pharmacy Llc Speciality:Community/Retail Pharmacy Address: 2350 N Harper Rd, Choctaw, OK Phone: 405-390-3611 Fax: 405-390-3670Mark's Prescription Shop Inc Speciality:Community/Retail Pharmacy Address: 1530 S Choctaw Rd Ste A, Choctaw, OK Phone: 405-390-3205 Fax: 405-390-3206Bc2rx, Llc Speciality:Pharmacy Address: 16925 Ne 23rd St Ste 101, Choctaw, OK Phone: 405-281-6363 Fax: 405-281-1302