Organization
ROSE ROCK PHARMACY, LLC
Active
Other names
Rose Rock Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLBY GREUEL PHARM. D. (OWNER/PHARMACIST IN CHARGE)
(918) 321-4054
Entity
Organization
Contact information
Practice address
12100 S YUKON AVE STE A, GLENPOOL, OK 74033-6621
(918) 321-4054
(918) 552-1030
Mailing address
12100 S YUKON AVE STE A, GLENPOOL, OK 74033-6621
(918) 321-4054
(918) 552-1030
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201038760A
—
OK
Enumeration date
06/23/2022
Last updated
06/27/2022
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