Sayre Professional Pharmacy
LBN: Cheyenne Professional Drug, Inc
Sayre Professional Pharmacy is an health care organization with primary practice located at 1002 Ne Highway 66 Ste 1 , Sayre OK 73662-9312. 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.
Cheyenne Professional Drug, Inc can be contacted via phone (580) 928-3633, or through Lakey, Eddie via phone (580) 374-1615.
Contact Information
Primary practice address
1002 Ne Highway 66 Ste 1
Sayre OK 73662-9312
Phone: (580) 928-3633
Fax: (580) 928-3635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1104851989 |
|---|---|
| LBN Legal business name | Cheyenne Professional Drug, Inc |
| DBA Doing business as | Sayre Professional Pharmacy |
| Authorized official | Lakey, Eddie PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 20th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104851989 | NPPES |
| Other | 2073595 | PK | |
| MEDICAID | 100244920A | PK |
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