Organization

Moore Pharmacy Service; Llc

May also be knows as Select Rx

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

Legal Business Name

Moore Pharmacy Service; Llc

Also Known As

Select Rx

NPI Number

1225121338

NPI Type

Organization

Enumeration Date

10/02/2006

Specialties

(Taxonomies)

Code

3336C0003X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

24-610

Contact
Information

Purpose

Mailing
Location

Address

11414 E. 51ST STREET
11414 E. 51ST STREET

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74146-5821
74146-5821

Country

US
US

Telephone Number

(918) 461-8103
(918) 461-8103

Authorized Official

Name

Mr. Michael Moore

Title or Position

PRESIDENT/OWNER

Telephone Number

(918) 461-8103

Identifiers

Identifier

100247400B
100247400A

Identifier State

OK
OK

Identifier Issuer

Unknown
Unknown

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

Data last updated by provider on 02/15/2011

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