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Thackerville Pharmacy
Compounding Pharmacy in Thackerville, Oklahoma
NPI 1669777058

Thackerville Pharmacy is a Compounding Pharmacy based in Thackerville, OK and is specialized in Compounding Pharmacy. Thackerville Pharmacy practices in Thackerville, OK. The NPI Number for Thackerville Pharmacy is 1669777058 and holds a License No. (Oklahoma).

The current practice location address for Thackerville Pharmacy is 11530 Ridge Rd Ste 1, Thackerville, OK and can be reached out via phone at 580-276-5161 and via fax at 580-276-9063.

Location: 11530 Ridge Rd Ste 1, Thackerville, OK, 73459-9622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669777058
Provider Name
Thackerville Pharmacy
Credential
Provider Entity Type
Organization
Address
11530 Ridge Rd Ste 1, Thackerville, OK, 73459-9622
Phone Number
580-276-5161
Fax Number
580-276-9063
Provider Enumeration Date
01/18/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200339440A 05 OK
580121 05 TX
2129291 01 PK
institution
Provider Business Practice Location Address Details
Address
11530 Ridge Rd Ste 1
City
Thackerville
State
Oklahoma
Zip
73459-9623
Phone Number
580-276-5161
Fax Number
580-276-9063
person
Provider Business Mailing Address Details
Address
11530 Ridge Rd Ste 1
City
Thackerville
State
Oklahoma
Zip
73459-9623
Phone Number
580-276-5161
Fax Number
580-276-9063
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
72-5917 (Oklahoma)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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