Miranda Green
Miranda Green is a Pharmacy in Heavener, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
101 W Avenue DHeavener, OK 74937-3017
Phone: (918) 653-4803
Fax: (918) 653-3520
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 19-5501 (OK) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1760523625 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Miranda Green — Owner · (918) 653-4803 |
| Other names | Greens Prescription Center |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | November 18, 2015 |
| Mailing address | 101 W Avenue D, Heavener, OK 74937-3017 |