OrganizationActive
23rd Street Pharmacy LLC
NPI 1215202064 · Community/Retail Pharmacy · Oklahoma City, OK
Provider details
- NPI number
- 1215202064
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Mickey Phan, Owner
Practice location
2316 Nw 23rd St
Oklahoma City, OK 73107-2406
Phone: (405) 602-6442
Fax: (405) 602-6449
Mailing address
2316 Nw 23rd St
Oklahoma City, OK 73107-2406
Registry dates
- Enumerated
- 2012-03-13
- Last updated
- 2016-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.