Organization
MERIDIAN PHARMACY MANAGEMENT INC
Active
Other names
MEDIC PHARMACY HEFNER POINTE
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY MOORE (OWNER)
(405) 755-3921
Entity
Organization
Contact information
Practice address
11101 HEFNER POINTE DR, STE 101, OKLAHOMA CITY, OK 73120-0600
(405) 755-3921
(405) 755-3922
Mailing address
11101 HEFNER POINTE DR, STE 101, OKLAHOMA CITY, OK 73120-0600
(405) 755-3921
(405) 755-3922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-5132
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245800A
—
OK
01
—
2074279
PK
—
Enumeration date
07/14/2006
Last updated
07/02/2014
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