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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 Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FMC PHARMACY LLC

NPI # 1124049192
LBN Legal business name FMC PHARMACY LLC
Authorized official LISA OWENS - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 09/19/2025 - About 9 months ago
Identifiers
OK License # 2-4962
OK Medicaid 200048230
OK Medicaid 200048230A
Other 2076980 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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