Tcaacp Llc in Broken Arrow - Community/retail Pharmacy

Tcaacp Llc - NPI 1013958990

Tcaacp Llc is a Community/retail Pharmacy in Broken Arrow, Oklahoma. Tcaacp Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Tcaacp Llc is 1013958990. The last update date is 2016-05-26.

Tcaacp Llc's current location address is 511 S Aspen Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182516655 and fax number 9182516622. The mailing address for Tcaacp Llc is 511 S Aspen Ave, Broken Arrow, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tcaacp Llc
Address 511 S Aspen Ave, Broken Arrow, Oklahoma
Phone Number 9182516655
Fax Number 9182516622
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Meacham Caleb
Credentials DPH
Telephone Number 9182516655

NPI Number Detail

NPI Number 1013958990
Provider Enumeration Date 2006-06-09
Last Updated Date 2016-05-26

Provider Mailing Address Detail

Address 511 S Aspen Ave
City Broken Arrow
State Oklahoma (OK)
Post Code 740122296
Phone Number 9182516655
Fax Number 9182516622

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 25915
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100247200A OK --
2076439 PK

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FAQs about Tcaacp Llc

What is the unique provider identifier assigned to Tcaacp Llc?

The Tcaacp Llc has been issued the NPI (National Provider Identifier) 1013958990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Tcaacp Llc's facilities are situated?

The facilities of Tcaacp Llc are physically located at the following address: 511 S Aspen Ave, Broken Arrow, OK, 740122296.

What is Tcaacp Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tcaacp Llc is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.

On what date did the Tcaacp Llc receive its 1013958990 assignment from the Centers for Medicare & Medicaid Services?

The Tcaacp Llc was assigned its 1013958990 by the Centers for Medicare & Medicaid Services on 2006-06-09.

As of what date were the details pertaining to Tcaacp Llc last refreshed?

The information related to the Tcaacp Llc, including its address, specialty, and other relevant details, was last updated on 2016-05-26.

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