23Rd Street Pharmacy

LBN: 23Rd Street Pharmacy Llc
23Rd Street Pharmacy is an health care organization with primary practice located at 2316 Nw 23Rd St , Oklahoma City OK 73107-2406. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 23Rd Street Pharmacy Llc can be contacted via phone (405) 602-6442, or through Phan, Mickey via phone (405) 513-0710.

Contact Information

Primary practice address
2316 Nw 23Rd St Oklahoma City OK 73107-2406
Phone: (405) 602-6442
Fax: (405) 602-6449
Website:
Map and Directions
Authorized official contact:
Name: Phan, Mickey
Phone: (405) 513-0710

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 16693 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1215202064
LBN Legal business name 23Rd Street Pharmacy Llc
DBA Doing business as 23Rd Street Pharmacy
Authorized official Phan, Mickey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2012
Last updated Jun 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215202064 NPPES
Other 2133976 PK

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