Organization
SAFFA HEALTHMART PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L WELLS (STORE MANAGER)
(918) 492-4242
Entity
Organization
Contact information
Practice address
8002 S SHERIDAN RD, TULSA, OK 74133-8945
(918) 492-4242
(918) 493-5790
Mailing address
8002 S SHERIDAN RD, TULSA, OK 74133-8945
(918) 492-4242
(918) 493-5790
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24513
OK
3336C0004X
Compounding Pharmacy
24513
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238400A
—
OK
Enumeration date
08/03/2005
Last updated
10/15/2010
Update your record
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