Organization
OU BEDLAM CHARITABLE PHARMACY
Active
Other names
OU Bedlam Charitable Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CROSBY (PHARMACIST-IN-CHARGE)
(918) 660-3588
Entity
Organization
Contact information
Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4704
Mailing address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4704
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-6704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153024
PK
—
Enumeration date
07/14/2015
Last updated
07/14/2015
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