Olympia Pharmacy Llc in Tulsa - Compounding Pharmacy
Olympia Pharmacy Llc - NPI 1003076738
Olympia Pharmacy Llc is a Compounding Pharmacy in Tulsa, Oklahoma. Olympia Pharmacy Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Olympia Pharmacy Llc is 1003076738. The last update date is 2013-02-20.
Olympia Pharmacy Llc's current location address is 6802 S Olympia Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9183986279. The mailing address for Olympia Pharmacy Llc is 6802 S Olympia Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Olympia Pharmacy Llc |
|---|---|
| Address | 6802 S Olympia Ave, Tulsa, Oklahoma |
| Phone Number | 9183986279 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Crismon Shawn |
| Credentials | DPH |
| Telephone Number | 9183885713 |
NPI Number Detail
| NPI Number | 1003076738 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2013-02-20 |
Provider Mailing Address Detail
| Address | 6802 S Olympia Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741321823 |
| Phone Number | 9183986279 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3725225 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the Olympia Pharmacy Llc's unique identification number?
The Olympia Pharmacy Llc has been assigned the NPI (National Provider Identifier) Number 1003076738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Olympia Pharmacy Llc is physically located?
The Olympia Pharmacy Llc is situated at the following address: 6802 S Olympia Ave, Tulsa, OK 741321823.
What is the Olympia Pharmacy Llc's area of specialization and corresponding taxonomy classification?
The Olympia Pharmacy Llc's specialty field is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1003076738 to Olympia Pharmacy Llc?
The Olympia Pharmacy Llc received its 1003076738 assignment from the Centers for Medicare & Medicaid Services on 2008-06-16.
When was the information pertaining to Olympia Pharmacy Llc most recently updated or revised?
The details related to Olympia Pharmacy Llc, including its address, specialty, and other relevant information, were last updated or revised on 2013-02-20.