Healthcare Provider Details

I. General information

NPI: 1366945842
Provider Name (Legal Business Name): PHARMORE SPECIALTY PHARMACIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2018
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 NW 56TH ST STE 100
OKLAHOMA CITY OK
73112-4426
US

IV. Provider business mailing address

3330 NW 56TH ST STE 100
OKLAHOMA CITY OK
73112-4426
US

V. Phone/Fax

Practice location:
  • Phone: 405-604-6861
  • Fax: 405-605-3588
Mailing address:
  • Phone: 405-604-6861
  • Fax: 405-605-3588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MISS MEGAN DANIELLE RAY
Title or Position: MANAGING MEMBER/OWNER
Credential: RPHT
Phone: 405-604-6861