Organization
BOBS PHARMACY
Active
Other names
BOBS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOB JAMES (OWNER)
(405) 631-8174
Entity
Organization
Contact information
Practice address
210 SW 89TH ST, OKLAHOMA CITY, OK 73139-8532
(405) 631-8174
(405) 631-8164
Mailing address
210 SW 89TH ST, OKLAHOMA CITY, OK 73139-8532
(405) 631-8174
(405) 631-8164
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
72697
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238210A
—
OK
01
—
2073932
PK
—
Enumeration date
10/12/2006
Last updated
12/02/2016
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