Organization
NORTHROCK PHARMACY LLC
Active
Other names
NorthRock Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY KERR (EXECUTIVE DIRECTOR)
(405) 858-2817
Entity
Organization
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1780
(405) 858-1781
Mailing address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1780
(405) 858-1781
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
1-7681
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000020B
—
OK
01
—
2163688
PK
—
Enumeration date
08/18/2016
Last updated
12/03/2024
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