Elliott Plaza Pharmacy
LBN: Elliott Plaza Pharmacy Llc
Elliott Plaza Pharmacy is an health care organization with primary practice located at 510 S Elliott St , Pryor OK 74361-6421. 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 / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Elliott Plaza Pharmacy Llc can be contacted via phone (918) 825-2225, or through Turner, P Andrew via phone (918) 543-8777.
Contact Information
Primary practice address
510 S Elliott St
Pryor OK 74361-6421
Phone: (918) 825-2225
Fax: (918) 825-0972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 306200 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1710053822 |
|---|---|
| LBN Legal business name | Elliott Plaza Pharmacy Llc |
| DBA Doing business as | Elliott Plaza Pharmacy |
| Authorized official | Turner, P Andrew PHRM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710053822 | NPPES |
| Oklahoma | MEDICAID | 200050100A | |
| Oklahoma | Other | 2076984 |
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