Organization
IMC NEIGHBORHOOD PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDELIS IFEANYI ARIGUZO (PHARMACIST IN CHARGE)
(918) 576-6602
Entity
Organization
Contact information
Practice address
6333 E 120TH CT STE A, TULSA, OK 74137-8800
(918) 576-6602
(918) 574-8453
Mailing address
6333 E 120TH CT STE A, TULSA, OK 74137-8800
(918) 576-6602
(918) 574-8453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
01/27/2021
Last updated
04/02/2021
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