Healthcare Provider Details
I. General information
NPI: 1801260807
Provider Name (Legal Business Name): PRESCRIPTION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2015
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 W ROCK CREEK RD STE 117
NORMAN OK
73069-8581
US
IV. Provider business mailing address
800 W ROCK CREEK RD STE 117
NORMAN OK
73069-8581
US
V. Phone/Fax
- Phone: 405-928-8985
- Fax: 405-543-1508
- Phone: 405-928-8985
- Fax: 405-543-1508
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | 7-7483 |
| License Number State | OK |
VIII. Authorized Official
Name:
EMMANUEL
TORRES
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 405-313-6900