Organization
CLAREMORE COMPOUNDING CENTER, INC
Active
Parent organization
CLAREMORE COMPOUNDING CENTER, INC.
Other names
CCC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAREMORE COMPOUNDING CENTER, INC.
Authorized official
BRITTNEY BENCE (PHARMACIST IN CHARGE)
(918) 283-3784
Entity
Organization
Contact information
Practice address
1000 W WILSHIRE BLVD STE 401, OKLAHOMA CITY, OK 73116-7003
(405) 754-1090
(405) 594-6007
Mailing address
1000 W WILSHIRE BLVD STE 401, OKLAHOMA CITY, OK 73116-7003
(405) 754-1090
(405) 594-6007
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-9024
STATE BOARD LICENSE
OK
Enumeration date
10/13/2021
Last updated
03/07/2023
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