Organization
CAREFIRST PHARMACY TULSA, INC.
Active
Other names
Carefirst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J MARTI PHARMD (PRESIDENT)
(918) 994-1400
Entity
Organization
Contact information
Practice address
6214 S. SHERIDAN RD, TULSA, OK 74133
(918) 940-6767
(918) 940-6497
Mailing address
2530 N ELM PL., BROKEN ARROW, OK 74012
(918) 994-1400
(918) 994-6522
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200623240-A
—
OK
Enumeration date
10/17/2018
Last updated
10/17/2018
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