City Pharmacy

LBN: Cheyenne Professional Drug Inc
City Pharmacy is an health care organization with primary practice located at 414 E Washington Ave , Sayre OK 73662-1354. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cheyenne Professional Drug Inc can be contacted via phone (580) 928-3323, or through Lakey, Eddie via phone (580) 928-3323.

Contact Information

Primary practice address
414 E Washington Ave Sayre OK 73662-1354
Fax: (580) 928-3321
Website:
Authorized official contact:
Name: Lakey, Eddie

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 35-5042 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1831122555
LBN Legal business name Cheyenne Professional Drug Inc
DBA Doing business as City Pharmacy
Authorized official Lakey, Eddie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 13th, 2016 - about 8 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 1831122555 NPPES
Other 2073244 PK
MEDICAID 100244930A PK

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