Provider Demographics
NPI:1164515508
Name:WESTVIEW PHARMACY INC
Entity Type:Organization
Organization Name:WESTVIEW PHARMACY INC
Other - Org Name:WESTVIEW PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHARMACIST-IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:918-425-1385
Mailing Address - Street 1:3606 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106
Mailing Address - Country:US
Mailing Address - Phone:918-425-1385
Mailing Address - Fax:918-430-0118
Practice Address - Street 1:3606 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106
Practice Address - Country:US
Practice Address - Phone:918-425-1385
Practice Address - Fax:918-430-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0002X, 3336C0003X
OK227753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100238600AMedicaid
OK100238600BMedicaid
2073949OtherPK
OK100238600BMedicaid