Central Pharmacy

LBN: Central Pharmacy
Central Pharmacy is an health care organization with primary practice located at 1721 N Main St Suite C, Altus OK 73521-2000. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Central Pharmacy can be contacted via phone (580) 482-3414, or through Avance, Jeremy via phone (405) 310-2014.

Contact Information

Primary practice address
1721 N Main St Suite C Altus OK 73521-2000
Phone: (580) 482-3414
Fax: (580) 482-3415
Website:
Map and Directions
Authorized official contact:
Name: Avance, Jeremy
Phone: (405) 310-2014

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 174718 Oklahoma

Profile Details

NPI number 1770676108
LBN Legal business name Central Pharmacy
DBA Doing business as
Authorized official Avance, Jeremy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Jun 11th, 2008 - about 17 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 1770676108 NPPES
Oklahoma MEDICAID 100245240A
Oklahoma Other 3703445
Oklahoma Other 3703445

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