Healthcare Provider Details

I. General information

NPI: 1215013321
Provider Name (Legal Business Name): D & D SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12331 E 60TH ST
TULSA OK
74146
US

IV. Provider business mailing address

12331 E 60TH ST
TULSA OK
74146-6904
US

V. Phone/Fax

Practice location:
  • Phone: 918-252-2000
  • Fax: 918-252-2007
Mailing address:
  • Phone: 918-252-2000
  • Fax: 918-252-2007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2-4721
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number2-4721
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number2-4721
License Number StateOK

VIII. Authorized Official

Name: MRS. JANE E DOSS
Title or Position: C.E.O
Credential: R.N.
Phone: 918-252-2000