Organization
UP RX - LLC
Active
Other names
Unidos Pharmacy of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HART PHARMD (MANAGING MEMBER)
(918) 398-5588
Entity
Organization
Contact information
Practice address
11240 E 17TH PL, TULSA, OK 74128
(918) 398-5588
(833) 311-2979
Mailing address
11240 E 17TH PL, TULSA, OK 74128-5601
(918) 398-5588
(833) 311-2979
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201204170A
—
OK
Enumeration date
02/03/2023
Last updated
03/05/2024
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