Dedmon Pharmacy Inc

LBN: Dedmon Pharmacy Inc
Dedmon Pharmacy Inc is an health care organization with primary practice located at 213 W Broadway St , Spiro OK 74959-2419. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Dedmon Pharmacy Inc can be contacted via phone (918) 962-2131, or through Dedmon, Bradley Wayne via phone (918) 962-2131.

Contact Information

Primary practice address
213 W Broadway St Spiro OK 74959-2419
Phone: (918) 962-2131
Fax: (918) 962-5750
Website:
Map and Directions
Authorized official contact:
Name: Dedmon, Bradley Wayne PHARM D
Phone: (918) 962-2131

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1326508706
LBN Legal business name Dedmon Pharmacy Inc
DBA Doing business as
Authorized official Dedmon, Bradley Wayne PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2019
Last updated Mar 22nd, 2019 - about 5 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 1326508706 NPPES
Oklahoma MEDICAID 100246960B

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