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Organization

OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE LLC

Active
Other names
OCS Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DARRELL WILLYARD PHARM D. (DIRECTOR OF PHARMACY SERVICES)
(918) 505-3202
Entity
Organization

Contact information

Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3252
(918) 505-3251
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3252
(918) 505-3251

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
27544
OK
3336C0003X
Community/Retail Pharmacy
Primary
22-100659
KS
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2006270908A
OK
01
2134209
PK
Enumeration date
03/19/2012
Last updated
12/21/2021
About Stedi
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