Organization
PHYSICIANS & SURGEONS PHARMACY INC
Active
Other names
PHYSICIANS AND SURGEONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CLINTON BS PHARMACY (OWNER)
(405) 307-2155
Entity
Organization
Contact information
Practice address
900 N PORTER AVE, SUITE 101, NORMAN, OK 73071-6425
(405) 364-5222
(405) 364-7076
Mailing address
900 N PORTER AVE, SUITE 101, NORMAN, OK 73071-6425
(405) 364-5222
(405) 364-7076
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
71771
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234860A
—
OK
05
—
100234860B
—
OK
01
—
2074141
PK
—
Enumeration date
10/06/2006
Last updated
06/22/2015
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