Organization
VALU-MED PHARMACY, LLC
Active
Other names
Valu-Med Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BLAKE WILSON PHARMD (PHARMACIST IN CHARGE)
(405) 741-1200
Entity
Organization
Contact information
Practice address
1212 S DOUGLAS BLVD, SUITE A, MIDWEST CITY, OK 73130-5246
(405) 741-1200
(405) 741-1224
Mailing address
1212 S DOUGLAS BLVD, SUITE A, MIDWEST CITY, OK 73130-5246
(405) 741-1200
(405) 741-1224
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1-3617
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242000A
—
OK
01
—
3718446
NCPDP
OK
Enumeration date
08/05/2006
Last updated
03/07/2023
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