Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

23rd Street Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1215202064

23rd Street Pharmacy LLC is a Community/Retail Pharmacy in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2316 NW 23rd St
Oklahoma City, OK 73107-2406
Phone: (405) 602-6442
Fax: (405) 602-6449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 16693 (OK)
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1215202064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Phan — Owner · (405) 513-0710
Other names 23rd Street Pharmacy
NPI enumeratedMarch 13, 2012
Last updated in NPPESJune 16, 2016
Mailing address2316 Nw 23rd St, Oklahoma City, OK 73107-2406

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