# REMEDI SENIORCARE OF OKLAHOMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Remedi SeniorCare of Oklahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114392115
- **Authorized official:** ALAN BRONFEIN (VICE PRESIDENT, STRATEGIC SOURCING)
- **Authorized official phone:** (443) 927-8403

## Contact information

- **Practice address:** 4243 WILL ROGERS PKWY, OKLAHOMA CITY, OK 73108-2039
- **Practice address phone:** (877) 927-8713
- **Practice address fax:** (855) 240-8808
- **Mailing address:** PO BOX 206329, DALLAS, TX 75320-6329
- **Mailing address phone:** (443) 927-8400
- **Mailing address fax:** (443) 927-8465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 1-7535 | OK | Yes |

## Other

- **Enumeration date:** 12/02/2015
- **Last updated:** 08/15/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200627500 A | — | OK |
| 01 | — | 2155937 | PK | — |