DR. POLLY GRETCHEN ROBINSON PHARMD

Managed Care Organization Pharmacy

Tulsa, Oklahoma

Provider NPI: 1497392476

Provider Information:
DR. POLLY GRETCHEN ROBINSON PHARMD


Practice Location:
W 2ND ST., SUITE 100 COMMUNITYCARE TULSA, OK 74103 US
Tel: 918-594-5200  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	3336M0003X	Suppliers Pharmacy Managed Care Organization Pharmacy	OK
Y	183500000X	Pharmacy Service Providers Pharmacist	OK	12549

Other Provider Identifiers:

Issuer	Number	State	Type
PHARMACY LICENSE NUMBER	12549	OK	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin