Provider Demographics
NPI:1316343627
Name:ALLCARE PHARMACY FLOWERS & GIFTS
Entity type:Organization
Organization Name:ALLCARE PHARMACY FLOWERS & GIFTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-788-8155
Mailing Address - Street 1:20914 SE 29TH ST
Mailing Address - Street 2:
Mailing Address - City:HARRAH
Mailing Address - State:OK
Mailing Address - Zip Code:73045-6439
Mailing Address - Country:US
Mailing Address - Phone:405-391-7433
Mailing Address - Fax:405-391-3105
Practice Address - Street 1:20914 SE 29TH ST
Practice Address - Street 2:
Practice Address - City:HARRAH
Practice Address - State:OK
Practice Address - Zip Code:73045-6439
Practice Address - Country:US
Practice Address - Phone:405-391-7433
Practice Address - Fax:405-391-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1-9667OtherSTATE LICENSE
OK1326128802OtherMEDICARE
OK100240550AMedicaid