Heritage Pharmacy Ii
LBN: Dielrx
Heritage Pharmacy Ii is an health care organization with primary practice located at 529 N Main St , Hennessey OK 73742-1033. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dielrx can be contacted via phone (405) 853-7200, or through Diel, Grant via phone (580) 233-4244.
Contact Information
Primary practice address
529 N Main St
Hennessey OK 73742-1033
Phone: (405) 853-7200
Fax: (405) 853-7209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 54-7606 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1033561659 |
|---|---|
| LBN Legal business name | Dielrx |
| DBA Doing business as | Heritage Pharmacy Ii |
| Authorized official | Diel, Grant |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2016 |
| Last updated | May 12th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033561659 | NPPES |
| Oklahoma | MEDICAID | 200201750D | |
| Oklahoma | Other | 2160668 |
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