Organization
GLMHC PHARMACY LLC
Active
Other names
GLMHC PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HUNTER (OWNER)
(405) 850-0630
Entity
Organization
Contact information
Practice address
111 S TREATY RD STE 142A, MIAMI, OK 74354-5327
(918) 540-1511
Mailing address
9432 N MAY AVE, OKLAHOMA CITY, OK 73120-2716
(405) 850-0630
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
216139
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3727104
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2012
Last updated
12/26/2012
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