Oklahoma Cvs Pharmacy, L.l.c.

NPI #1861819682 in Muskogee, Oklahoma

Provider Information

NPI Number: 1861819682
Entity Type: Organization
Organization Name: Oklahoma Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Mar 19, 2014
Last Updated: Aug 18, 2014

Practice Location

Address: 304 NORTH YORK ST
City: Muskogee
State: Oklahoma
ZIP Code: 74403-4658
Phone: (918) 683-1570

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 765-1500

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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