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

Oklahoma Cvs Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1780822577

Oklahoma Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009
Specialties on file
3
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

1150 E Hillside Dr
Broken Arrow, OK 74012-2385
Phone: (918) 615-1901
Fax: (918) 615-1912
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 2-7624 (OK)

Record details

NPI number1780822577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #17479
NPI enumeratedFebruary 2, 2009
Last updated in NPPESNovember 8, 2016
Mailing address1 Cvs Dr, Box 1075, Woonsocket, RI 02895-6146

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