NPI 1013958990

Tcaacp LLC

Organisation Community/Retail Pharmacy Broken Arrow, OK

Practice location

Address: 511 S Aspen Ave, Broken Arrow, OK 74012-2296
Phone: (918) 251-6655
Fax: (918) 251-6622

Authorised official

Name: Caleb Meacham
Title: Owner
Phone: (918) 251-6655

Registered specialties (4)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 25915 (OK)

Other Pharmacy providers in Oklahoma →

Pharmacy

Suppliers Taxonomy 333600000X

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X

Mail Order Pharmacy

Suppliers Taxonomy 3336M0002X

Registry record

NPI: 1013958990
Entity type: Organization
NPI issued: 9 Jun 2006
Record last updated: 26 May 2016

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.