Clinic Pharmacy

LBN: Clinic Pharmacy Of Cordell Inc
Clinic Pharmacy is an health care organization with primary practice located at 1213 N Glenn English St , Cordell OK 73632-2009. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clinic Pharmacy Of Cordell Inc can be contacted via phone (580) 832-3714, or through Johnson, Chris via phone (580) 832-3714.

Contact Information

Primary practice address
1213 N Glenn English St Cordell OK 73632-2009
Phone: (580) 832-3714
Fax: (580) 832-3331
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Chris
Phone: (580) 832-3714

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 33-7414 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1053796235
LBN Legal business name Clinic Pharmacy Of Cordell Inc
DBA Doing business as Clinic Pharmacy
Authorized official Johnson, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2015
Last updated Feb 20th, 2017 - about 7 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 1053796235 NPPES
Other 2154068 PK
MEDICAID 200608360A PK

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