NPI 1003076738
Olympia Pharmacy LLC
Practice location
- Address
- 6802 S Olympia Ave STE 125, Tulsa, OK 74132-1823
- Phone
- (918) 398-6279
Authorised official
- Name
- Shawn Crismon
- Title
- Pharmacist
- Phone
- (918) 388-5713
Registered specialties (2)
Community/Retail Pharmacy
Primary
Compounding Pharmacy
Registry record
- NPI
- 1003076738
- Entity type
- Organization
- NPI issued
- 16 Jun 2008
- Record last updated
- 20 Feb 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.