# NORTHROCK PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NorthRock Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487109518
- **Authorized official:** SALLY KERR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (405) 858-2817

## Contact information

- **Practice address:** 2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
- **Practice address phone:** (405) 858-1780
- **Practice address fax:** (405) 858-1781
- **Mailing address:** 2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
- **Mailing address phone:** (405) 858-1780
- **Mailing address fax:** (405) 858-1781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | 1-7681 | OK | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2016
- **Last updated:** 12/03/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200000020B | — | OK |
| 01 | — | 2163688 | PK | — |