Organization
JIMARDE INC
Active
Other names
JIMS COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HUFF RPH (OWNER)
(405) 605-0346
Entity
Organization
Contact information
Practice address
908 STRAKA TER, OKLAHOMA CITY, OK 73139-2534
(405) 605-0346
(405) 605-0348
Mailing address
908 STRAKA TER, OKLAHOMA CITY, OK 73139-2534
(405) 605-0346
(405) 605-0348
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1-4510
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246740A
—
OK
01
—
2076404
PK
—
Enumeration date
10/27/2006
Last updated
05/24/2016
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