Hutton Pharmacy

LBN: Blackwell Pharmacy Llc
Hutton Pharmacy is an health care organization with primary practice located at 119 N Main St , Blackwell OK 74631. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Blackwell Pharmacy Llc can be contacted via phone (580) 363-2137, or through George, David via phone (580) 363-2137.

Contact Information

Primary practice address
119 N Main St Blackwell OK 74631
Phone: (580) 363-2137
Fax: (580) 363-5582
Website:
Map and Directions
Authorized official contact:
Name: George, David PHARMD, PHD
Phone: (580) 363-2137

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1548629579
LBN Legal business name Blackwell Pharmacy Llc
DBA Doing business as Hutton Pharmacy
Authorized official George, David PHARMD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2016
Last updated Jul 3rd, 2020 - about 5 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 1548629579 NPPES
Other 2158214 PK
MEDICAID 200634910 A PK
MEDICAID 200634910A PK

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