Organization
CAREFIRST PHARMACY INC.
Active
Other names
Carefirst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CAIN (V.P.)
(918) 994-1400
Entity
Organization
Contact information
Practice address
2530 N. ELM PL., BROKEN ARROW, OK 74012
(918) 994-1400
(918) 994-6522
Mailing address
2530 N. ELM PL., BROKEN ARROW, OK 74012
(918) 994-1400
(918) 994-6522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200394750-A
—
OK
Enumeration date
07/11/2019
Last updated
07/11/2019
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