National Provider Identifier Database

FMC PHARMACY LLC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

FMC PHARMACY LLC
2325 S HARVARD AVE
STE 400
TULSA, OK74114-3300
Phone: 918-712-3407
Fax: 918-712-3408
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Long Term Care Pharmacy 3336L0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for FMC PHARMACY LLC

NPI Number 1124049192
Legal business name
LBN
FMC PHARMACY LLC
Authorized official LISA OWENS - (PIC)
Entity Organization
Organization subpart No
Enumeration date 07/22/2006
Last updated 09/19/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 2-4962
  • OK Medicaid: 200048230
  • OK Medicaid: 200048230A
  • Other: 2076980 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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