Provider Demographics
NPI:1811764657
Name:COMPASSIONATE CARE PHARMACY LLC
Entity type:Organization
Organization Name:COMPASSIONATE CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-706-1042
Mailing Address - Street 1:1811 W LINDSEY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4101
Mailing Address - Country:US
Mailing Address - Phone:405-546-4199
Mailing Address - Fax:405-329-6002
Practice Address - Street 1:1811 W LINDSEY ST STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4101
Practice Address - Country:US
Practice Address - Phone:405-546-4199
Practice Address - Fax:405-329-6002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOONER DISCOUNT PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-11
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy