Organization · NPI-2
Aristacare Health INC
Pharmacy, Community/Retail Pharmacy · Oklahoma City, OK
NPI number1740972058
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1740972058
- Entity type
- Organization (NPI-2)
- Legal business name
- Aristacare Health INC
- Organization subpart
- No
- Enumeration date
- May 24, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
7512 Broadway Ext Ste 308Oklahoma City, OK 73116-9055
Phone 405-212-5669 · Fax 405-653-9445
Mailing address
7512 Broadway Ext Ste 308Oklahoma City, OK 73116-9055
Phone 405-212-5669 · Fax 405-653-9445
Other practice locations
7512 Broadway Ext Ste 308
Oklahoma City, OK 73116-9055
Oklahoma City, OK 73116-9055
Phone 405-212-5669 · Fax 405-653-9445
Authorized official
Jayne Justice
Vice President
8474903995
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