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RED ROCK PHARMACY LLC NPI 1568501518


NPI Information

NPI: 1568501518
Provider Name: RED ROCK PHARMACY, LLC

Doing Business As: RED ROCK PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK
ZIP 73105
Phone: (405) 425-0384
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RED ROCK PHARMACY, LLC is a clinic pharmacy pharmacy in Oklahoma City, OK. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. RED ROCK PHARMACY, LLC NPI is 1568501518. The provider is registered as an organization entity type.
The provider Is Doing Business As Red Rock Pharmacy.

The provider's business location address is:

4400 N LINCOLN BLVD
OKLAHOMA CITY, OK
ZIP 73105-104
Phone: (405) 425-0384
Fax: (405) 424-4962

The provider's authorized official is Virgil Todd .
The authorized official title is Managing Officer and has the following contact phone number (405) 858-2992.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 4/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy14662OKLAHOMANo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0002XPharmacyClinic PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12076453OTHERPK
2200000020AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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