Provider Demographics
NPI:1235946351
Name:WESTBURY EXPRESS PHARMACY OF OKC LLC
Entity type:Organization
Organization Name:WESTBURY EXPRESS PHARMACY OF OKC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:405-248-8455
Mailing Address - Street 1:1096 COUNTY STREET 2840
Mailing Address - Street 2:
Mailing Address - City:POCASSET
Mailing Address - State:OK
Mailing Address - Zip Code:73079-8220
Mailing Address - Country:US
Mailing Address - Phone:405-914-2385
Mailing Address - Fax:405-914-2386
Practice Address - Street 1:1600 S MORGAN RD STE A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73128-7027
Practice Address - Country:US
Practice Address - Phone:405-914-2385
Practice Address - Fax:405-914-2386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy