Organization
OKLAHOMA PHARMACY INC
Active
Other names
Riverbend Serv-U Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ERIC SASS RPH (OWNER)
(414) 327-1150
Entity
Organization
Contact information
Practice address
7500 W OKLAHOMA AVE, WEST ALLIS, WI 53219-2860
(414) 327-1150
(414) 327-2251
Mailing address
7500 W OKLAHOMA AVE, WEST ALLIS, WI 53219-2860
(414) 327-1150
(414) 327-2251
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6666
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33052200
—
WI
Enumeration date
10/17/2006
Last updated
08/25/2010
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