Sullins Drugs

LBN: Dedmon Pharmacy Inc
Sullins Drugs is an health care organization with primary practice located at 213 W Broadway St , Spiro OK 74959-2419. The organization recently has 5 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 / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dedmon Pharmacy Inc can be contacted via phone (918) 962-2131, or through Dedmon, Bradley 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 PHARM D
Phone: (918) 962-2131

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 197806 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1821181264
LBN Legal business name Dedmon Pharmacy Inc
DBA Doing business as Sullins Drugs
Authorized official Dedmon, Bradley PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Feb 28th, 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 1821181264 NPPES
Oklahoma MEDICAID 100246960B
Oklahoma Other 2073256

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