MEDICARE: PHARM NICHOLS HILLS ACQUISITION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	3336C0003X	Community/Retail Pharmacy	1-7567	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194818534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARM NICHOLS HILLS ACQUISITION LLC

Provider Business Mailing Address
First Line	:	7600 N WESTERN AVE
Second Line	:
City	:	NICHOLS HILLS
State	:	OK
Zip	:	73116-7016
Country	:	US
Telephone Number	:	405-843-9501
Fax Number	:	405-842-8535

Provider Business Practice Location Address
First Line	:	7600 N WESTERN AVE
Second Line	:
City	:	NICHOLS HILLS
State	:	OK
Zip	:	73116-7016
Country	:	US
Telephone Number	:	405-843-9501
Fax Number	:	405-842-8535

Authorized Official
Title or Position	:	OFFICER
Name	:	MATTHEW FINN
Credential	:
Telephone Number	:	405-843-9501

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	04/01/2022

Similar Medicare Providers

1407690332 — KYLIE ROBERTS PHARMD
Practice Location Address:

7600 N WESTERN AVE
NICHOLS HILLS, OK
73116-7016

Practice Phone: 405-843-9501
Practice Fax:

1316187842 — ANNAPOLIS BUS CO INC
Practice Location Address:

2404 NICHOLS RD
ANNAPOLIS, MD
21401-7016

Practice Phone: 410-266-0602
Practice Fax: 410-266-8046

1134873391 — MS. MELISSA WARNER BURGET PHARMACIST
Practice Location Address:

7600 N WESTERN AVE
OKLAHOMA CITY, OK
73116-7016

Practice Phone: 405-843-9501
Practice Fax:

1790478865 — BROOKE SEVERSON PHARM.D.
Practice Location Address:

7600 N WESTERN AVE
OKLAHOMA CITY, OK
73116-7016

Practice Phone: 405-843-9501
Practice Fax:

1235243312 — SHEILA LANHAM ENTERPRISES, INC.
Practice Location Address:

26071 MERIT CIR , SUITE 113
LAGUNA HILLS, CA
92653-7016

Practice Phone: 800-934-1737
Practice Fax: 949-215-9442

1386891703 — MRS. CARMEN ROSAURA ORTIZ-RODRIGUEZ PT
Practice Location Address:

G226 CALLE FILADELFIA , ROLLING HILLS
CAROLINA, PR
00987-7016

Practice Phone: 787-532-2524
Practice Fax:

Directions to “PHARM NICHOLS HILLS ACQUISITION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.