Organization
CLINIC PHARMACY INC
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ISAACS (PRESIDENT)
(405) 341-8490
Entity
Organization
Contact information
Practice address
120 N BRYANT AVE STE A2, EDMOND, OK 73034-6300
(405) 341-8490
(405) 341-8496
Mailing address
120 N BRYANT AVE STE A2, EDMOND, OK 73034-6300
(405) 341-8490
(405) 341-8496
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232410A
—
OK
01
—
2072521
PK
—
Enumeration date
02/02/2007
Last updated
04/27/2020
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