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Organization

MCBRIDE CLINIC ORTHOPEDIC HOSPITAL LLC

Active
Other names
MCBRIDE ORTHOPEDIC HOSPITAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY ANDERSON (DIRECTOR OF PHARMACY)
(405) 486-2191
Entity
Organization

Contact information

Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2184
(405) 486-2188
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2184
(405) 486-2188

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
1-5553
OK
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200069370A
OK
05
200069370L
OK
01
2077051
PK
Enumeration date
05/14/2007
Last updated
01/14/2026
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