=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760535223
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE MEDICINE CABINET
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2007
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 N ROBINSON AVE SUITE # 150-S
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73102-7502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-232-0707
-----------------------------------------------------
Fax | 405-236-2491
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 211 N ROBINSON AVE SUITE # 150-S
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73102-7502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-232-0707
-----------------------------------------------------
Fax | 405-236-2491
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MACK D SCHERLER
-----------------------------------------------------
Credential | PHARMACIST
-----------------------------------------------------
Telephone | 405-232-0707
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------