Organization
STANBRO HEALTHCARE GROUP LLC
Active
Other names
Turtlecreek Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MISKIMINS (MGR., LICENSING & THIRD PARTY)
(817) 572-0009
Entity
Organization
Contact information
Practice address
2000 E 15TH ST, SUITE 400C, EDMOND, OK 73013-6697
(405) 562-6434
(405) 285-6121
Mailing address
1620 W NORTHWEST HWY, STE. 100, GRAPEVINE, TX 76051-3177
(817) 572-0009
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17167
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150608
PK
—
Enumeration date
03/05/2015
Last updated
04/04/2017
About Stedi
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