Prairie Gardens Pharmacy Ltc INC
NPI #1346988565 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1346988565
- Entity Type
- Organization
- Organization Name
- Prairie Gardens Pharmacy Ltc INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- May 26, 2022
- Last Updated
- Nov 18, 2022
Practice Location
- Address
- 12301 N WESTERN AVE STE 106
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73114-8017
- Phone
- (405) 768-1818
Authorized Official
- Name
- TROY SIMONS, DPH
- Title
- PRESIDENT
- Phone
- (405) 742-8099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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