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Organization
CLAREMORE COMPOUNDING CENTER, INC
Active
Organization
CLAREMORE COMPOUNDING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. DAVID BRIM II DPH (CO-OWNER)
(918) 283-3784
Entity
Organization
Contact information
Practice address
1151 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-3068
(918) 283-3784
(918) 343-1303
Mailing address
1151 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-3068
(918) 283-3784
(918) 343-1303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
294671
OK
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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