Boomer Solutions Of Tulsa

LBN: Guardian Pharmacy Of Tulsa, Llc
Boomer Solutions Of Tulsa is an health care organization with primary practice located at 5415 S 125Th East Ave Suite 201-203, Tulsa OK 74146-6232. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Guardian Pharmacy Of Tulsa, Llc can be contacted via phone (866) 237-8217, or through Burgess, Ricky via phone (866) 237-8217.

Contact Information

Primary practice address
5415 S 125Th East Ave Suite 201-203 Tulsa OK 74146-6232
Phone: (866) 237-8217
Fax: (855) 711-3900
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Ricky
Phone: (866) 237-8217

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 2-7811 Oklahoma

Profile Details

NPI number 1194185504
LBN Legal business name Guardian Pharmacy Of Tulsa, Llc
DBA Doing business as Boomer Solutions Of Tulsa
Authorized official Burgess, Ricky
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2016
Last updated Feb 24th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194185504 NPPES
Oklahoma MEDICAID 200611770C

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