Sooner Pharmacy Inc Of Tishomingo
Community/Retail Pharmacy
101 S Byrd St, Tishomingo
Oklahoma, 73460-2216
580-371-9509 580-371-9252
Sooner Pharmacy Inc Of Tishomingo is a Community/Retail Pharmacy in Tishomingo, Oklahoma. It is located at 101 S Byrd St, Tishomingo and it's customer support contact number is 580-371-9509. The authorized person of Sooner Pharmacy Inc Of Tishomingo is Mike Lafevers who is Pres And Mgr of the pharmacy and his contact number is 580-371-9509. Active license number of Sooner Pharmacy Inc Of Tishomingo is 61-3493 for Community/Retail Pharmacy in Oklahoma.
Sooner Pharmacy Inc Of Tishomingo is 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.
Pharmacy Details:
Sooner Pharmacy Inc Of Tishomingo 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: | Sooner Pharmacy Inc Of Tishomingo |
| Type: | Community/Retail Pharmacy |
| Location: | 101 S Byrd St, Tishomingo,
Oklahoma, 73460-2216 |
| Phone: | 580-371-9509 |
| Fax: | 580-371-9252 |
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: | Mike Lafevers |
| Position: | Pres And Mgr |
| Contact Number: | 580-371-9509 |
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: | 1891874566 |
| NPI Enumeration Date: | 03 Nov, 2006 |
| NPI Last Update On: | 07 Feb, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sooner Pharmacy Inc Of Tishomingo are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 61-3493 | Oklahoma | Primary | |
| 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 |
| 3714575 | Other | | Ncpdp Provider Identification Number |
| 100238360A | 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: | 101 S Byrd St,
Tishomingo, Oklahoma |
| Zip: | 73460-2216 |
| Phone Number: | 580-371-9509 |
| Fax Number: | 580-371-9252 |
Patients can reach Sooner Pharmacy Inc Of Tishomingo at
101 S Byrd St, Tishomingo, Oklahoma or can
call on customer care at 580-371-9509.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.