Organization
THOMAS WILSON PHARMACY INC
Active
Other names
WILSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MATLOCK (OWNER/PHARMACIST/PRESIDENT)
(405) 737-3464
Entity
Organization
Contact information
Practice address
911 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4836
(405) 737-3464
(405) 737-9554
Mailing address
911 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4836
(405) 737-3464
(405) 737-9554
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-7280
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234270A
—
OK
05
—
100234270B
—
OK
01
—
2081553
PK
—
Enumeration date
09/12/2006
Last updated
10/25/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up