Organization
CAREFIRST PHARMACY TULSA INC
Active
Other names
CareFirst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MARTI PHARMD (PRESIDENT)
(918) 940-6767
Entity
Organization
Contact information
Practice address
6214 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 940-6767
(918) 940-6497
Mailing address
2530 N ELM PL, BROKEN ARROW, OK 74012-1285
(918) 940-6767
(918) 940-6497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-7490
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200623240-A
—
OK
01
—
2157249
PK
—
Enumeration date
12/30/2015
Last updated
07/08/2016
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