23rd Street Pharmacy Llc

NPI 1215202064 - Pharmacy - 3336L0003X

NPI Details
NPI 1215202064
Enumeration Date 03/13/2012
Last Updated 06/16/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICKEY MICKEY
Position OWNER
Phone (405) 602-6442
Fax (405) 602-6449
Practice Location
2316 NW 23RD ST
OKLAHOMA CITY OK, 73107-2406, US
Phone (405) 602-6442
Fax (405) 602-6449
Business Location
2316 NW 23RD ST
OKLAHOMA CITY OK, 73107-2406, US
Phone (405) 602-6442
Fax (405) 602-6449
Toxanomy
Taxonomy Code 3336L0003X
License State
License Number
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According to our database, 23rd Street Pharmacy Llc NPI is 1215202064, taxonomy code is 3336L0003X 23rd Street Pharmacy Llc physically located at 2316 Nw 23rd St, Oklahoma City OK, 73107-2406. NPI Number 1033115704 has the healthcare provider type.

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1215202064 NPI number is provided on an as is basis without warranty of any kind. 1215202064 is maintained by the National Plan & Provider Enumeration System. The contents of 23rd Street Pharmacy Llc are for informational purposes only.