Organization
PHARMACY OPERATIONS INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
1400 BRYAN DR, STE 102, DURANT, OK 74701-2156
(580) 924-6048
(580) 924-0913
Mailing address
1 RIDER TRAIL PLAZA DR, SUITE 300, EARTH CITY, MO 63045-1313
(314) 993-6000
(314) 872-5558
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
275289
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132310A
—
OK
01
—
3725085
NCPDP
OK
Enumeration date
01/07/2008
Last updated
03/07/2023
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