Eddie Allens Pharmacy

LBN: E D Allens Pharmacy Of Broken Bow Inc
Eddie Allens Pharmacy is an health care organization with primary practice located at 619 S Park Dr , Broken Bow OK 74728-5331. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. E D Allens Pharmacy Of Broken Bow Inc can be contacted via phone (580) 584-5841, or through Allen, Eddie via phone (580) 584-5841.

Contact Information

Primary practice address
619 S Park Dr Broken Bow OK 74728-5331
Phone: (580) 584-5841
Fax: (580) 584-5845
Website:
Map and Directions
Authorized official contact:
Name: Allen, Eddie
Phone: (580) 584-5841

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 255237 Oklahoma

Profile Details

NPI number 1609938349
LBN Legal business name E D Allens Pharmacy Of Broken Bow Inc
DBA Doing business as Eddie Allens Pharmacy
Authorized official Allen, Eddie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Jun 7th, 2016 - about 8 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 1609938349 NPPES
Oklahoma MEDICAID 100237740A
Oklahoma Other 2073473

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