Central Pharmacy, NPI 1770676108
Community/Retail Pharmacy in Altus, OK, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1770676108
NPI Entity Type Organization
Provider Name Central Pharmacy
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1721 N Main St, Suite C, Altus, OK, US
Provider Mailing Address Po Box 722580, Norman, OK, US, 730708961
Is Sole Proprietor? No
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Organization Official

Official Name Jeremy Avance
Official Position OWNER
Phone 405-310-2014

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 174718
License State OK
Description 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

Central Pharmacy
1721 N Main St
Suite C

Altus, OK, US

Phone: 580-482-3414
Fax: 580-482-3415

Mailing Address

Central Pharmacy
Po Box 722580
Norman, OK, US
ZIP 730708961

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100245240A OK MEDICAID 05
3703445 OTHER ID NUMBER-COMMERCIAL NUMBER 01
3703445 OTHER ID NUMBER 01

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NPI Name Taxonomy Address

1154753580

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Organization

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CRNA Kristy J Yates

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MRS. DNP, APRN-CNP Sherri Lynn Richardson

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Mallory Callins

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APRN Priscilla Rashelle Phelps

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Natalie Strohm

Individual

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MS; LPC-CANDIDATE Eden Trentham

Individual

Counselor

1055 S Houston Ave

Tulsa, OK

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