Organization
AFFORDABLE PHARMACY AND HEALTH FOOD CENTER LLC
Active
Other names
AFFORDABLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
I NGUYEN (MANAGER)
(405) 636-4091
Entity
Organization
Contact information
Practice address
2636 SW 28TH ST, OKLAHOMA CITY, OK 73108-5823
(405) 636-4091
(405) 353-7023
Mailing address
2636 SW 28TH ST, OKLAHOMA CITY, OK 73108-5823
(405) 636-4091
(405) 353-7023
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17848
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200639500A
—
OK
01
—
2158653
PK
—
Enumeration date
03/21/2016
Last updated
11/03/2021
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