Corner Drug Of Durant

LBN: Corner Drug Of Durant Inc
Corner Drug Of Durant is an health care organization with primary practice located at 1005 W Main St , Durant OK 74701-5038. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Corner Drug Of Durant Inc can be contacted via phone (580) 924-4444, or through Northcutt, Clark via phone (580) 924-4444.

Contact Information

Primary practice address
1005 W Main St Durant OK 74701-5038
Fax: (580) 924-0018
Website:
Authorized official contact:
Name: Northcutt, Clark

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 271448 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1922191360
LBN Legal business name Corner Drug Of Durant Inc
DBA Doing business as Corner Drug Of Durant
Authorized official Northcutt, Clark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated May 28th, 2015 - about 9 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 1922191360 NPPES
Oklahoma MEDICAID 100244720A
Oklahoma MEDICAID 100244720B
Oklahoma Other 2072725

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