Fountain Park Pharmacy

LBN: Community Pharmacy Llc
Fountain Park Pharmacy is an health care organization with primary practice located at 3125 Sw 89Th St , Oklahoma City OK 73159-7901. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Community Pharmacy Llc can be contacted via phone (405) 605-7700, or through Gray, Ed via phone (405) 419-5478.

Contact Information

Primary practice address
3125 Sw 89Th St Oklahoma City OK 73159-7901
Phone: (405) 605-7700
Fax: (405) 605-7712
Website:
Map and Directions
Authorized official contact:
Name: Gray, Ed
Phone: (405) 419-5478

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 15137 Oklahoma

Profile Details

NPI number 1942365879
LBN Legal business name Community Pharmacy Llc
DBA Doing business as Fountain Park Pharmacy
Authorized official Gray, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 31st, 2007 - about 17 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 1942365879 NPPES
Other 3724754 OTHER ID NUMBER

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