Organization
MORTON HEALTH CENTER PHARMACY
Active
Parent organization
MORTON COMPREHENSIVE HEALTH SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MORTON COMPREHENSIVE HEALTH SERVICES INC
Authorized official
SAUNYA MOORE (CFO)
(918) 295-6107
Entity
Organization
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 295-6130
(918) 295-6199
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 295-6130
(918) 295-6199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
22681
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234720A
—
OK
01
—
90003910072
MEDICAID
OK
01
—
WCDPG
MEDICARE
OK
Enumeration date
09/21/2005
Last updated
07/24/2019
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