City Drug
LBN: City Drug Of Idabel Inc
City Drug is an health care organization with primary practice located at 12 S Central Ave , Idabel OK 74745-4626. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
City Drug Of Idabel Inc can be contacted via phone (580) 286-3235, or through Nicholson, Jerry via phone (580) 286-3235.
Contact Information
Primary practice address
12 S Central Ave
Idabel OK 74745-4626
Phone: (580) 286-3235
Fax: (580) 286-3016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 25-2838 | Oklahoma |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1093808438 |
---|---|
LBN Legal business name | City Drug Of Idabel Inc |
DBA Doing business as | City Drug |
Authorized official | Nicholson, Jerry RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 30th, 2006 |
Last updated | Jul 2nd, 2014 - about 10 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 | 1093808438 | NPPES |
Oklahoma | MEDICAID | 100237680A | |
Oklahoma | Other | 2073563 |
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