Organization
VARIETY CARE, INC
Active
Other names
Variety Care Pharmacy #721
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PHAN (DIRECTOR OF PHARMACY)
(405) 632-6688
Entity
Organization
Contact information
Practice address
721 W BRITTON RD, OKLAHOMA CITY, OK 73114-2909
(405) 632-6688
(405) 632-6688
Mailing address
721 W BRITTON RD, OKLAHOMA CITY, OK 73114-2909
(405) 632-6688
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-8187
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176779
PK
—
Enumeration date
05/10/2018
Last updated
05/10/2018
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