Provider Demographics
NPI:1801260807
Name:PRESCRIPTION CARE LLC
Entity type:Organization
Organization Name:PRESCRIPTION CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:405-313-6900
Mailing Address - Street 1:800 W ROCK CREEK RD STE 117
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8581
Mailing Address - Country:US
Mailing Address - Phone:405-928-8985
Mailing Address - Fax:405-543-1508
Practice Address - Street 1:800 W ROCK CREEK RD STE 117
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8581
Practice Address - Country:US
Practice Address - Phone:405-928-8985
Practice Address - Fax:405-543-1508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-14
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 333600000X
OK7-74833336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200621590AMedicaid
2155342OtherPK
OK200621590AMedicaid