Organization
FMC PHARMACY LLC
Active
Other names
FAMILY AND CHILDRENS SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OWENS DPH (PIC)
(918) 712-3407
Entity
Organization
Contact information
Practice address
2325 S HARVARD AVE, STE 400, TULSA, OK 74114-3300
(918) 712-3407
(918) 712-3408
Mailing address
LOCK BOX, DEPT 2113, TULSA, OK 74182-0001
(918) 712-3407
(918) 712-3408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
2-4962
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048230
—
OK
05
—
200048230A
—
OK
01
—
2076980
PK
—
Enumeration date
07/22/2006
Last updated
09/19/2025
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