Healthcare Provider Details

I. General information

NPI: 1659310035
Provider Name (Legal Business Name): RPCS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10122 S MEMORIAL DR
TULSA OK
74133-6903
US

IV. Provider business mailing address

10122 S MEMORIAL DR
TULSA OK
74133-6903
US

V. Phone/Fax

Practice location:
  • Phone: 918-369-6575
  • Fax: 918-369-6593
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2-5245
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ERICK TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 417-829-9200