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NPI Code Detail

MEDICARE: WENJEST CORPORATION

MEDICARE: WENJEST CORPORATION
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
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacy1-5212OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23720756OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1386683761
Entity Type Code : Organization
Provider Name (Legal Business Name) : WENJEST CORPORATION
Provider Business Mailing Address
First Line : 7001 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-3924
Country : US
Telephone Number : 405-720-9303
Fax Number : 405-720-6317
Provider Business Practice Location Address
First Line : 7001 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-3924
Country : US
Telephone Number : 405-720-9303
Fax Number : 405-720-6317
Authorized Official
Title or Position : PHARMACY SUPERVISOR
Name : JULIE WILLIS
Credential : RPH
Telephone Number : 405-473-0094
Provider Enumeration Date : 06/04/2006
Last Update Date : 05/22/2008

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Directions to “WENJEST CORPORATION ” Practice Location

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