Canadian Valley Pharmacy
LBN: Canadian Valley Rx, Inc.
Canadian Valley Pharmacy is an health care organization with primary practice located at 1605 W. Elm Street , El Reno OK 73036. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Canadian Valley Rx, Inc. can be contacted via phone (405) 262-4154, or through Smith, John Thomas via phone (405) 262-4154.
Contact Information
Primary practice address
1605 W. Elm Street
El Reno OK 73036
Phone: (405) 262-4154
Fax: (405) 262-0912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Nursing Facility Supplies | 332BN1400X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 26-8078 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1265442164 |
|---|---|
| LBN Legal business name | Canadian Valley Rx, Inc. |
| DBA Doing business as | Canadian Valley Pharmacy |
| Authorized official | Smith, John Thomas PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265442164 | NPPES |
| Oklahoma | MEDICAID | 100803650C | |
| Oklahoma | MEDICAID | 100803650B | |
| Oklahoma | Other | 2072539 |
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