Organization
SPRING CREEK PHARMACY LLC
Active
Other names
SPRING CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MACVICTOR VIET KY NGUYEN (PHARMACIST IN CHARGE)
(405) 285-9082
Entity
Organization
Contact information
Practice address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 285-9082
(405) 471-6256
Mailing address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 285-9082
(405) 471-6256
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200576880A
—
OK
01
—
2149145
PK
—
Enumeration date
02/04/2015
Last updated
09/17/2020
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