Organization
OU MEDICINE INC.
Active
Other names
Jimmy Everest Cancer Center Pharmacy, OU Health Pharmacy - Jimmy Everest Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PETTY (DIRECTOR OF RETAIL PHARMACY)
(405) 808-1771
Entity
Organization
Contact information
Practice address
1200 CHILDRENS AVE STE 7300, OKLAHOMA CITY, OK 73104-4637
(405) 271-1047
(405) 271-4301
Mailing address
1200 CHILDRENS AVE STE 7300, OKLAHOMA CITY, OK 73104-4637
(572) 244-6224
(572) 244-9845
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021910H
—
OK
01
—
3726481
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/31/2011
Last updated
02/03/2026
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