Dishman'S Pharmacy

LBN: Dishman Pharmacy Inc
Dishman'S Pharmacy is an health care organization with primary practice located at 1310 Sw Lee Blvd , Lawton OK 73501-5610. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Dishman Pharmacy Inc can be contacted via phone (580) 353-8561, or through Corrales, Mark via phone (580) 353-8561.

Contact Information

Primary practice address
1310 Sw Lee Blvd Lawton OK 73501-5610
Phone: (580) 353-8561
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corrales, Mark
Phone: (580) 353-8561

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 3-5500 Oklahoma

Profile Details

NPI number 1598763005
LBN Legal business name Dishman Pharmacy Inc
DBA Doing business as Dishman'S Pharmacy
Authorized official Corrales, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 21st, 2011 - about 13 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 1598763005 NPPES
Other 3702948 NCPDP PROVIDER IDENTIFICATION NUMBER

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