Healthcare Provider Details

I. General information

NPI: 1437797248
Provider Name (Legal Business Name): OXFORD PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 S SOONER RD STE B
OKLAHOMA CITY OK
73135-5601
US

IV. Provider business mailing address

6001 S SOONER RD STE B
OKLAHOMA CITY OK
73135-5601
US

V. Phone/Fax

Practice location:
  • Phone: 405-351-2264
  • Fax: 405-543-2687
Mailing address:
  • Phone: 405-543-2680
  • Fax: 405-543-2687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KIET B NGUYEN
Title or Position: PHARMACIST-IN-CHARGE
Credential: DPH
Phone: 405-543-2680