Organization

Eaglet Pharmacy Llc

May also be knows as Eaglet Pharmacy

Community/Retail Pharmacy in Oklahoma City, OK(View on Map)

Legal Business Name

Eaglet Pharmacy Llc

Also Known As

Eaglet Pharmacy

NPI Number

1447011135

NPI Type

Organization

Enumeration Date

01/19/2024

Specialties

(Taxonomies)

Code

3336C0003X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2209 SW 104TH ST STE E
2209 SW 104TH ST STE E

City

Oklahoma City
Oklahoma City

State

OK
OK

Postal Code

73159-7551
73159-7551

Country

US
US

Telephone Number

N/A
(405) 676-5300

Authorized Official

Name

Valimohammed Panara

Title or Position

MANAGER

Telephone Number

(405) 676-5300

Identifiers

Identifier

201224190A
1-9605

Identifier State

OK
OK

Identifier Issuer

Unknown
BOARD OF PHARMACY

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/22/2024

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