Organization
APS 1705, LLC
Active
Other names
APS Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN SMITH PHARMD (PHARMACY MANAGER)
(405) 726-9845
Entity
Organization
Contact information
Practice address
1705 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3045
(405) 726-9845
(405) 726-9846
Mailing address
1705 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3045
(405) 726-9845
(405) 726-9846
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200809200A
—
OK
Enumeration date
09/19/2018
Last updated
11/02/2021
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