Organization
THE CHILDREN'S CENTER, INC. DBA BETHANY COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICO GOMEZ (CEO)
(405) 789-6711
Entity
Organization
Contact information
Practice address
6770 NW 39TH EXPY, BETHANY, OK 73008-2646
(405) 440-6797
(405) 440-6798
Mailing address
6770 NW 39TH EXPY, BETHANY, OK 73008-2646
(405) 440-6797
(405) 440-6798
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100677110J
—
OK
Enumeration date
11/13/2019
Last updated
08/14/2024
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