Organization
HEALTH CENTER PHARMACY OF CLAREMORE INC
Active
Other names
HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MILLER (PRESIDENT)
(918) 341-1236
Entity
Organization
Contact information
Practice address
113 E BLUE STARR DRIVE, CLAREMORE, OK 74017
(918) 341-1236
(918) 341-2070
Mailing address
113 E BLUE STARR DRIVE, CLAREMORE, OK 74017
(918) 341-1236
(918) 341-2070
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
294542
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246910A
—
OK
05
—
100246910B
—
OK
01
—
2081530
PK
—
Enumeration date
07/25/2006
Last updated
11/06/2013
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