GUARDIAN PHARMACY OF TULSA LLC NPI 1194185504

NPI Information

GUARDIAN PHARMACY OF TULSA, LLC is a long term care pharmacy pharmacy in Tulsa, OK. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GUARDIAN PHARMACY OF TULSA, LLC NPI is 1194185504. The provider is registered as an organization entity type.
The provider Is Doing Business As Boomer Solutions Of Tulsa.

The provider's business location address is:

5415 S 125TH EAST AVE
SUITE 201-203
TULSA, OK
ZIP 74146-232
Phone: (866) 237-8217
Fax: (855) 711-3900

The provider's authorized official is Ricky Burgess .
The authorized official title is President and has the following contact phone number (866) 237-8217.

The CLIA number assigned to this NPI record is 37D2234416 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2016 and was last updated on 2/24/2017.

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:

Other Identifiers

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

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