# CLAREMORE COMPOUNDING CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609939529
- **Authorized official:** DR. L. DAVID BRIM II DPH (CO-OWNER)
- **Authorized official phone:** (918) 283-3784

## Contact information

- **Practice address:** 1151 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-3068
- **Practice address phone:** (918) 283-3784
- **Practice address fax:** (918) 343-1303
- **Mailing address:** 1151 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-3068
- **Mailing address phone:** (918) 283-3784
- **Mailing address fax:** (918) 343-1303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 294671 | OK | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 08/22/2020