Organization
BAPTIST HEALTHCARE OF OKLAHOMA, LLC
Active
Other names
INTEGRIS Regency Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI MCCULLOCK (INTERIM VICE PRESIDENT)
(405) 713-5512
Entity
Organization
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7502
Mailing address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
21-6864
OK
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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