Organization

Nugenerex Pok1 Llc

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

Legal Business Name

Nugenerex Pok1 Llc

NPI Number

1598232969

NPI Type

Organization

Enumeration Date

10/24/2018

Specialties

(Taxonomies)

Code

3336C0003X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

10102 USA TODAY WAY
804 W I 240 SERVICE RD STE F

City

Miramar
Oklahoma City

State

FL
OK

Postal Code

33025-3903
73139-4555

Country

US
US

Telephone Number

N/A
(405) 378-4210

Authorized Official

Name

Anthony Crisci

Title or Position

OFFICER

Telephone Number

(914) 527-1183

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

Data last updated by provider on 10/24/2018

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