Oklahoma Cvs Pharmacy LLC
Pharmacy in Tulsa, OK. Organization (NPI-2).
NPI number1720302136
StatusActive
Last updated in NPPESNov 8, 2010
Details
- NPI
- 1720302136
- Entity type
- Organization (NPI-2)
- Legal business name
- Oklahoma Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2010
- Last updated
- Nov 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy #07972 (Doing Business As)
Practice location
4107 S Harvard AveTulsa, OK 74135-2601
Phone 918-747-6690
Mailing address
1 Cvs DrBox 1075-Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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