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

Prairie Gardens Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1083352066

Prairie Gardens Pharmacy Inc is a Community/Retail Pharmacy in Oklahoma City, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12301 N Western Ave Ste 106
Oklahoma City, OK 73114-8017
Phone: (405) 768-1818
Fax: (405) 768-1919
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1083352066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Simons — President · (405) 742-8099
NPI enumeratedMay 20, 2022
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022
Mailing address824 S Walnut St, Stillwater, OK 74074-4225

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