Organization
VARIETY CARE
Active
Other names
Variety Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PHAN (DIRECTOR OF PHARMACY)
(405) 632-6688
Entity
Organization
Contact information
Practice address
5320 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2098
(405) 605-0316
(405) 605-0359
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 602-6442
(405) 604-0708
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16542
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143666
PK
—
Enumeration date
01/09/2014
Last updated
01/09/2014
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