Organization Name: | OLIVERS EXPRESS PHARMACY LLC |
NPI Number: | 1134545999 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLIVER GARY LACKEY (OWNER/PHARMACIST IN CHARGE) |
Mailing Address: | 820 E State Rd Fairview |
State: | OK US |
Postal Code: | 737372601 |
Phone Number: | 5802274000 |
Fax Number: | 5802274003 |
NPI Enumeration Date: | 03/17/2014 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 66-6586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |