Organization
MEDCARE UNITED CHARITABLE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMBERLYN HERD RPH (PHARMACY DIRECTOR)
(405) 271-6278
Entity
Organization
Contact information
Practice address
711 STANTON L YOUNG BLVD, SUITE 100, OKLAHOMA CITY, OK 73104-5023
(405) 271-6278
(405) 271-6287
Mailing address
711 STANTON L YOUNG BLVD, SUITE 100, OKLAHOMA CITY, OK 73104-5023
(405) 271-6278
(405) 271-6287
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
1-5412
OK
333600000X
Pharmacy
1-5412
OK
3336C0002X
Clinic Pharmacy
1-5412
OK
3336C0003X
Community/Retail Pharmacy
Primary
1-5412
OK
3336M0002X
Mail Order Pharmacy
1-5412
OK
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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