Az RX Compounding Pharmacy, LLC.
Organization Active NPI Compounding Pharmacy · Durant, OK
NPI 1184045544 · NPPES record last updated Jan 2, 2014
Key facts
- NPI
- 1184045544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Compounding Pharmacy 3336C0004X
- License
- 27-6518 (OK)
- Legal business name
- AZ RX COMPOUNDING PHARMACY, LLC.
- Practice address
- 2150 Ed F Davis Rd
Durant, OK 74701-1053 - Phone
- (405) 412-1404
- NPI assigned
- Jan 2, 2014
- Organization subpart
- No
Authorized official
- Name
- A.J. Asgari
- Title
- Pic
- Phone
- (405) 412-1404
National Provider Directory
Locations
2150 Ed F Davis Rd
Durant, OK 74701
Phone (580) 740-4717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | 27-6518 | OK | Yes |
Addresses
Primary practice location
2150 Ed F Davis Rd
Durant, OK 74701-1053
Mailing address
291 Rolling Wood Hills Dr
Durant, OK 74701-1733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2143497 | Other | PK |
Other names
- Texoma Compounding Pharmacy
Other providers in Durant, OK
- Patricia Ann Austin
- Robert James Austin III
- Avalon Diagnostics LLC
- Courtney Avery
- Gayle Avery
- Charles W Bachmann III
- Hailey Brette Baird
- Clara Gladean Baker
- Pam Baker
- Bala Krishna V Arabolu
All providers in Durant, OK · Compounding Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.