Organization
PHARMCAREOK OF TULSA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARNEY KENT ABBOTT PHARM. D (PRES CEO)
(405) 663-4111
Entity
Organization
Contact information
Practice address
2760 N S HIGHWAY 167, CATOOSA, OK 74015
(918) 379-0404
(877) 505-7999
Mailing address
PO BOX 70, HYDRO, OK 73048-0070
(918) 379-0404
(877) 505-7999
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
294408
OK
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246040A
—
OK
01
—
3722306
NCPDP
—
Enumeration date
07/03/2006
Last updated
01/03/2019
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