Organization
WENJEST CORPORATION
Active
Other names
WILLIAMS PHARMACY #16
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WILLIS RPH (PHARMACY SUPERVISOR)
(405) 473-0094
Entity
Organization
Contact information
Practice address
7001 NW 122ND ST, OKLAHOMA CITY, OK 73142-3924
(405) 720-9303
(405) 720-6317
Mailing address
7001 NW 122ND ST, OKLAHOMA CITY, OK 73142-3924
(405) 720-9303
(405) 720-6317
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1-5212
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116490E
—
OK
01
—
3720756
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/04/2006
Last updated
05/22/2008
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