Organization

Glenpool Pharmacy Inc

May also be knows as Medicap Pharmacy

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

Legal Business Name

Glenpool Pharmacy Inc

Also Known As

Medicap Pharmacy

NPI Number

1871823781

NPI Type

Organization

Enumeration Date

12/29/2009

Specialties

(Taxonomies)

Code

3336C0003X
333600000X

Primary Taxonomy

Yes
No

Licenses

State

Oklahoma

License Number

25496

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 887
1601 N PEORIA AVE

City

Glenpool
Tulsa

State

OK
OK

Postal Code

74033-0887
74106-4463

Country

US
US

Telephone Number

(918) 322-3667
(918) 322-3667

Authorized Official

Name

Matthew Morgan

Title or Position

SPECIALIST, CUSTOMER OPS SUPPORT

Telephone Number

(614) 652-1509

Identifiers

Identifier

3726037

Identifier State

Unknown

Identifier Issuer

NCPDP PROVIDER IDENTIFICATION NUMBER

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

Data last updated by provider on 06/27/2012

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