OKLAHOMA CITY PHARMACY (2765)    INSTITUTION (4)

Name Value
NAME OKLAHOMA CITY PHARMACY
STATE OKLAHOMA
STREET ADDR. 1 921 Northeast 13th St.
CITY Oklahoma City
ZIP 73104-5007
OFFICIAL VA NAME Oklahoma City Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OKLAHOMA CITY VAMC PHARMACY
ST. ADDR. 1 (MAILING) 921 Northeast 13th St.
CITY (MAILING) Oklahoma City
STATE (MAILING) OKLAHOMA
ZIP (MAILING) 73104-5007
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1043278211
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1043278211