Healthcare Provider Details

I. General information

NPI: 1316982531
Provider Name (Legal Business Name): PHARMACY CONSULTANT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 10/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N GREEN AVE
PURCELL OK
73080-1807
US

IV. Provider business mailing address

1300 N GREEN AVE
PURCELL OK
73080-1807
US

V. Phone/Fax

Practice location:
  • Phone: 405-527-2107
  • Fax: 405-527-5399
Mailing address:
  • Phone: 405-527-2107
  • Fax: 405-527-5399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number476211
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VICKIE GEE
Title or Position: OWNER
Credential: DPH
Phone: 405-527-2107