Organization
UTICA SERVICES INC
Active
Other names
PROFESSIONAL PHARMACY, Ascension RX 1602
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN STUBBLEFIELD (DIRECTOR, NET REVENUE MANAGEMENT)
(918) 744-3382
Entity
Organization
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7699
(918) 748-7696
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7699
(918) 748-7696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23688
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242580A
—
OK
01
—
2074644
PK
—
Enumeration date
11/03/2006
Last updated
02/28/2025
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