Organization
RX PRESCRIPTION SHOP LLC
Active
Other names
RX PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS MCALISTER (OWNER)
(405) 634-1415
Entity
Organization
Contact information
Practice address
6517 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1705
(405) 634-1415
(405) 634-3527
Mailing address
6517 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1705
(405) 634-1415
(405) 634-3527
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1-3867
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243680A
—
OK
01
—
2081580
PK
—
Enumeration date
12/29/2006
Last updated
07/30/2015
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