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Miranda Green
Community/Retail Pharmacy in Heavener, Oklahoma
NPI 1760523625

Miranda Green is a Community/Retail Pharmacy based in Heavener, OK and is specialized in Community/Retail Pharmacy. Miranda Green practices in Heavener, OK. The NPI Number for Miranda Green is 1760523625 and holds a License No. (Oklahoma).

The current practice location address for Miranda Green is 101 W Avenue D, Heavener, OK and can be reached out via phone at 918-653-4803 and via fax at 918-653-3520.

Location: 101 W Avenue D, Heavener, OK, 74937-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760523625
Provider Name
Miranda Green
Credential
Provider Entity Type
Organization
Address
101 W Avenue D, Heavener, OK, 74937-3017
Phone Number
918-653-4803
Fax Number
918-653-3520
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100234100 05 OK
2072800 01 PK
institution
Provider Business Practice Location Address Details
Address
101 W Avenue D
City
Heavener
State
Oklahoma
Zip
74937-3017
Phone Number
918-653-4803
Fax Number
918-653-3520
person
Provider Business Mailing Address Details
Address
101 W Avenue D
City
Heavener
State
Oklahoma
Zip
74937-3017
Phone Number
918-653-4803
Fax Number
918-653-3520
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
19-5501 (Oklahoma)
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.
()
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.
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