Provider Demographics
NPI:1801775267
Name:CARTER HEALTHCARE PHARMACY AND DME OF OKLAHOMA, LLC
Entity type:Organization
Organization Name:CARTER HEALTHCARE PHARMACY AND DME OF OKLAHOMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-947-7700
Mailing Address - Street 1:7725 W RENO AVE STE 332
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-9799
Mailing Address - Country:US
Mailing Address - Phone:405-947-7700
Mailing Address - Fax:
Practice Address - Street 1:4425 W AIRPORT FWY STE 580
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5949
Practice Address - Country:US
Practice Address - Phone:972-255-3824
Practice Address - Fax:972-255-3879
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARTER HEALTHCARE PHARMACY AND DME OF OKLAHOMA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies