Provider Demographics
NPI:1225592496
Name:CRIMSON SPIRE PHARMACY
Entity Type:Organization
Organization Name:CRIMSON SPIRE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRZEBINDA
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:405-473-0144
Mailing Address - Street 1:1325 BEVERLY HILLS ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-5925
Mailing Address - Country:US
Mailing Address - Phone:405-473-0144
Mailing Address - Fax:
Practice Address - Street 1:5600 S.E. 67 STR
Practice Address - Street 2:SUITE A
Practice Address - City:OKC
Practice Address - State:OK
Practice Address - Zip Code:73135
Practice Address - Country:US
Practice Address - Phone:405-473-0144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy