Western Oaks Pharmacy

LBN: Dennis Wagner
Western Oaks Pharmacy is an health care organization with primary practice located at 2703 N Rockwell Ave , Bethany OK 73008-5246. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dennis Wagner can be contacted via phone (405) 789-6881, or through Wagner, Dennis via phone (405) 789-6881.

Contact Information

Primary practice address
2703 N Rockwell Ave Bethany OK 73008-5246
Phone: (405) 789-6881
Fax: (405) 787-9793
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Dennis
Phone: (405) 789-6881

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1-4168 Oklahoma

Profile Details

NPI number 1538231907
LBN Legal business name Dennis Wagner
DBA Doing business as Western Oaks Pharmacy
Authorized official Wagner, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated May 20th, 2015 - about 10 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 1538231907 NPPES
Oklahoma MEDICAID 100236840A
Oklahoma Other 2072645
Oklahoma MEDICAID 100805600B

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