Collinsville Family Pharmacy

LBN: Collinsville Family Pharmacy Lc
Collinsville Family Pharmacy is an health care organization with primary practice located at 1205 W Main St Ste A , Collinsville OK 74021-3114. 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. Collinsville Family Pharmacy Lc can be contacted via phone (918) 371-2547, or through Turnbull, Colton B via phone (918) 371-2547.

Contact Information

Primary practice address
1205 W Main St Ste A Collinsville OK 74021-3114
Phone: (918) 371-2547
Fax: (918) 371-0268
Website:
Map and Directions
Authorized official contact:
Name: Turnbull, Colton B
Phone: (918) 371-2547

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 26388 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1336185222
LBN Legal business name Collinsville Family Pharmacy Lc
DBA Doing business as Collinsville Family Pharmacy
Authorized official Turnbull, Colton B
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2020 - about 4 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 1336185222 NPPES
Other 2081529 PK
MEDICAID 100807920B PK
MEDICAID 100807920A PK

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