Healthcare Provider Details

I. General information

NPI: 1265429138
Provider Name (Legal Business Name): ECONOMY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3414 W OKMULGEE ST
MUSKOGEE OK
74401-5071
US

IV. Provider business mailing address

3414 W OKMULGEE ST
MUSKOGEE OK
74401-5071
US

V. Phone/Fax

Practice location:
  • Phone: 918-682-7765
  • Fax: 918-682-7772
Mailing address:
  • Phone: 918-682-7765
  • Fax: 918-682-7772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number4-7671
License Number StateOK

VIII. Authorized Official

Name: CHRIS SCHILLER
Title or Position: CEO
Credential:
Phone: 918-615-3388