Organization
VARIETY CARE INC
Active
Other names
Variety Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PHAN PHARM D (DIRECTOR OF PHARMACY)
(405) 632-6688
Entity
Organization
Contact information
Practice address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 629-5281
(405) 629-5286
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
(405) 604-0708
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-6360
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141028
PK
—
Enumeration date
07/17/2013
Last updated
11/06/2013
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