Chickasha Clinic Pharmacy, Llc
LBN: Chickasha Clinic Pharmacy Llc
Chickasha Clinic Pharmacy, Llc is an health care organization with primary practice located at 2224 W Iowa Ave , Chickasha OK 73018-2738. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Chickasha Clinic Pharmacy Llc can be contacted via phone (405) 224-4851, or through Justice, Julie via phone (405) 447-3911.
Contact Information
Primary practice address
2224 W Iowa Ave
Chickasha OK 73018-2738
Phone: (405) 224-4851
Fax: (405) 222-9157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 18-5929 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1114087350 |
|---|---|
| LBN Legal business name | Chickasha Clinic Pharmacy Llc |
| DBA Doing business as | Chickasha Clinic Pharmacy, Llc |
| Authorized official | Justice, Julie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jun 8th, 2022 - about 2 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 | 1114087350 | NPPES |
| Oklahoma | MEDICAID | 100236490A | |
| Oklahoma | Other | 2135238 |
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