Organization
RED ROCK PHARMACY, LLC
Active
Other names
Red Rock Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL TODD (MANAGING OFFICER)
(405) 425-0384
Entity
Organization
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0384
(405) 424-4962
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0384
(405) 424-4962
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000020A
—
OK
01
—
2076453
PK
—
Enumeration date
02/06/2007
Last updated
07/09/2025
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