Healthcare Provider Details

I. General information

NPI: 1871938241
Provider Name (Legal Business Name): ECONOMY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2013
Last Update Date: 11/24/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6585 S YALE AVE STE 102
TULSA OK
74136-8384
US

IV. Provider business mailing address

6585 S YALE AVE STE 102
TULSA OK
74136-8384
US

V. Phone/Fax

Practice location:
  • Phone: 918-491-1004
  • Fax: 918-491-1005
Mailing address:
  • Phone: 918-491-1004
  • Fax: 918-491-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2-7674
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRIS SCHILLER
Title or Position: PHARMACY MANAGER
Credential:
Phone: 918-686-1000