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Organization
CYBER PHARMACY LLC
Active
Organization
CYBER PHARMACY LLC
Active
Other names
LEGEND CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DOW CLASSEN (PHARMACY MANAGER)
(405) 321-5300
Entity
Organization
Contact information
Practice address
2600 TECHNOLOGY PL, NORMAN, OK 73071-1129
(405) 321-5300
(405) 321-5352
Mailing address
2600 TECHNOLOGY PL, NORMAN, OK 73071-1129
(405) 321-5300
(405) 321-5352
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
75767
OK
3336M0003X
Managed Care Organization Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246250A
—
OK
01
—
2076243
PK
—
Enumeration date
01/04/2007
Last updated
01/23/2017
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