Organization
EPIC PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMZA MUHAMMAD (MEMBER)
(405) 724-7852
Entity
Organization
Contact information
Practice address
2249 NW 39TH ST, OKLAHOMA CITY, OK 73112-8831
(405) 724-7852
Mailing address
2249 NW 39TH ST, OKLAHOMA CITY, OK 73112-8831
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-8487
STATE LICENSE
OK
Enumeration date
07/18/2019
Last updated
08/13/2019
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