Broken Oak Llc

LBN: Broken Oak Llc
Broken Oak Llc is an health care organization with primary practice located at 208 S Main St , Omak WA 98841-9755. The organization recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacy Technician, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broken Oak Llc can be contacted via phone (509) 740-0833, or through Russell, April M via phone (509) 740-0833.

Contact Information

Primary practice address
208 S Main St Omak WA 98841-9755
Phone: (509) 740-0833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, April M PHARM.D.
Phone: (509) 740-0833

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Pharmacy Service Providers / Pharmacy Technician 183700000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1548887771
LBN Legal business name Broken Oak Llc
DBA Doing business as
Authorized official Russell, April M PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2020
Last updated Jul 3rd, 2020 - about 4 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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