Organization
INSYNC LIFE CARE LLC
Active
Other names
InSync Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANNE AXSOM D. PH. (PHARMACIST-IN-CHARGE)
(918) 582-7500
Entity
Organization
Contact information
Practice address
6310 EAST 102ND STREET, TULSA, OK 74137-7061
(918) 582-7500
(918) 728-2340
Mailing address
6310 EAST 102ND STREET, TULSA, OK 74137-7061
(918) 582-7500
(918) 728-2340
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-6132
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-6745
RX LICENSE NUMBER
OK
05
—
200469640A
—
OK
Enumeration date
12/17/2012
Last updated
05/06/2019
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