Foster Corner Drug Long Term Care

LBN: Foster Corner Drug Long Term Care
Foster Corner Drug Long Term Care is an health care organization with primary practice located at 328 N 6Th St , Perry OK 73077-6607. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Foster Corner Drug Long Term Care can be contacted via phone (580) 336-2136, or through Simons, Troy via phone (405) 372-4882.

Contact Information

Primary practice address
328 N 6Th St Perry OK 73077-6607
Phone: (580) 336-2136
Fax: (580) 336-9445
Website:
Map and Directions
Authorized official contact:
Name: Simons, Troy
Phone: (405) 372-4882

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1093362337
LBN Legal business name Foster Corner Drug Long Term Care
DBA Doing business as Foster Corner Drug Long Term Care
Authorized official Simons, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2019
Last updated Oct 19th, 2020 - about 4 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 1093362337 NPPES
Oklahoma MEDICAID 100232570A

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