Heritage Park Pharmacy, LLC
NPI #1619194453 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1619194453
- Entity Type
- Organization
- Organization Name
- Heritage Park Pharmacy, LLC
- Primary Specialty
- Pharmacy Technician
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Jan 30, 2014
Practice Location
- Address
- 6908 E RENO AVE STE 101
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-2120
- Phone
- (405) 737-6697
Authorized Official
- Name
- CHERYL MARIE DESJARDINS
- Title
- OWNER
- Phone
- (405) 737-6697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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