Organization

Med-x Corporation

May also be knows as Med-x Drug #14

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

Legal Business Name

Med-x Corporation

Also Known As

Med-x Drug #14

NPI Number

1285718320

NPI Type

Organization

Enumeration Date

10/25/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Oklahoma

License Number

22630

Contact
Information

Purpose

Mailing
Location

Address

2100 BROOKWOOD DR
1339 E 41ST ST

City

Little Rock
Tulsa

State

AR
OK

Postal Code

72202-1734
74105-4031

Country

US
US

Telephone Number

N/A
(918) 744-5490

Authorized Official

Name

Mr. Gary Boone

Title or Position

DIRECTOR OF HME OPERATIONS

Telephone Number

(479) 394-6363

Identifiers

Identifier

100233260L
400522490
100246210K
3714032

Identifier State

OK
OK
OK
Unknown

Identifier Issuer

Unknown
MEDICARE FLU
MEDICAID DME
OTHER ID NUMBER-COMMERCIAL NUMBER

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

Data last updated by provider on 11/04/2008

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