Oklahoma Cvs Pharmacy, L.l.c.

NPI #1588971956 in Owasso, Oklahoma

Provider Information

NPI Number: 1588971956
Entity Type: Organization
Organization Name: Oklahoma Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 8, 2010
Last Updated: Mar 8, 2012

Practice Location

Address: 12902 E 96TH ST N
City: Owasso
State: Oklahoma
ZIP Code: 74055-4778
Phone: (918) 272-2376

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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