Organization
CREATIVE CARE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GEORGE PHARMD (CO-OWNER)
(405) 562-1800
Entity
Organization
Contact information
Practice address
14101 N EASTERN AVE, SUITE A, EDMOND, OK 73013-5859
(405) 562-1800
(405) 562-1880
Mailing address
14101 N EASTERN AVE, SUITE A, EDMOND, OK 73013-5859
(405) 562-1800
(405) 562-1880
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494830A
—
OK
Enumeration date
06/19/2013
Last updated
07/06/2020
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