PRAIRIE GARDENS PHARMACY LTC INC NPI 1346988565

NPI Information

PRAIRIE GARDENS PHARMACY LTC INC is a long term care pharmacy pharmacy in Oklahoma City, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PRAIRIE GARDENS PHARMACY LTC INC NPI is 1346988565. The provider is registered as an organization entity type.

The provider's business location address is:

12301 N WESTERN AVE STE 106
OKLAHOMA CITY, OK
ZIP 73114-017
Phone: (405) 768-1818
Fax: (405) 768-1919

The provider's authorized official is Troy Simons .
The authorized official title is President and has the following contact phone number (405) 742-8099.

The enumeration date for this NPI number is 5/26/2022 and was last updated on 5/26/2022.

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

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