Provider Demographics
NPI:1376979625
Name:MICHALOPULOS, GEORGE C (RPH)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:C
Last Name:MICHALOPULOS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7959 S. HUDSON PLACE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136
Mailing Address - Country:US
Mailing Address - Phone:918-876-7899
Mailing Address - Fax:
Practice Address - Street 1:CLAREMORE COMPOUNDING CENTER
Practice Address - Street 2:1151 N. LYNN PLACE BLVD
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017
Practice Address - Country:US
Practice Address - Phone:918-283-3784
Practice Address - Fax:918-343-1316
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist