Organization
UNITED DISCOUNT PHARMACY LLC
Active
Other names
United Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN ENNIS (OWNER)
(405) 947-6828
Entity
Organization
Contact information
Practice address
5420 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 947-6828
(405) 946-3346
Mailing address
5420 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 947-6828
(405) 946-3346
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200536450A
—
OK
01
—
2145853
PK
—
Enumeration date
04/28/2014
Last updated
01/27/2026
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