Organization
JANE PHILLIPS MEMORIAL MEDICAL CENTER INC
Active
Other names
Jane Phillips MedCare Ambulatory Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE FRENCH-EDWARDS (VICE PRESIDENT - FINANCE)
(314) 226-3510
Entity
Organization
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1540
Mailing address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
96964
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699490 B DME
—
OK
05
—
100699490 L
—
OK
01
—
2148573
PK
—
Enumeration date
10/30/2014
Last updated
02/28/2025
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