Organization

Ou Bedlam Charitable Pharmacy

May also be knows as Ou Bedlam Charitable Pharmacy

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

Legal Business Name

Ou Bedlam Charitable Pharmacy

Also Known As

Ou Bedlam Charitable Pharmacy

NPI Number

1326422957

NPI Type

Organization

Enumeration Date

07/14/2015

Specialties

(Taxonomies)

Code

3336C0003X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

2-6704

Contact
Information

Purpose

Mailing
Location

Address

1111 S SAINT LOUIS AVE
1111 S SAINT LOUIS AVE

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74120-5440
74120-5440

Country

US
US

Telephone Number

(918) 619-4704
(918) 619-4704

Authorized Official

Name

Kimberly Crosby

Title or Position

PHARMACIST-IN-CHARGE

Telephone Number

(918) 660-3588

Identifiers

Identifier

2153024

Identifier State

Unknown

Identifier Issuer

PK

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

Data last updated by provider on 07/14/2015

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