Organization
INNOVATIVE PHARMACY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C MASON D.PH. (PHARMACIST)
(405) 330-3619
Entity
Organization
Contact information
Practice address
1716 S KELLY AVE, EDMOND, OK 73013-3624
(405) 330-3619
(405) 330-5621
Mailing address
1716 S KELLY AVE, EDMOND, OK 73013-3624
(405) 330-3619
(405) 330-5621
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3721847
NCPDP
OK
Enumeration date
05/01/2007
Last updated
08/22/2020
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