Genscripts Glenpool, LLC
Pharmacy, Community/Retail Pharmacy in Glenpool, OK. Organization (NPI-2).
NPI number1033736657
StatusActive
Last updated in NPPESJun 30, 2020
Details
- NPI
- 1033736657
- Entity type
- Organization (NPI-2)
- Legal business name
- Genscripts Glenpool, LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 30, 2020
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Genscripts Pharmacy (Doing Business As)
Practice location
12100 South Yukon AvenueSuite A
Glenpool, OK 74033
Phone 918-552-1040 · Fax 918-552-1030
Mailing address
10827 S Memorial Dr Ste ITulsa, OK 74133-7361
Phone 918-921-8134 · Fax 918-921-8134
Authorized official
Justin Ray Postier
President/Coo
9189218134
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